Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Group A Streptococcal Meningitis in a Patient with Palmoplantar Pustulosis
Hideharu HagiyaFumio Otsuka
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JOURNAL OPEN ACCESS

2013 Volume 52 Issue 23 Pages 2675-2678

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Abstract

A 64-year-old man with a 10-year history of palmoplantar pustulosis, a recent history of cranial surgery and a persistent upper airway infection presented with a high fever and deep coma. The patient was diagnosed with Group A Streptococcal meningitis and promptly treated with antibiotics. Although his general condition recovered well, sensorineural hearing loss and facial palsy remained. Group A Streptococcal meningitis is a rare condition, and its typical clinical picture and epidemiological features remain poorly understood. Physicians need to be more aware of this infection, which is extremely rare but frequently causes various complications and yields a high mortality.

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© 2013 by The Japanese Society of Internal Medicine
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