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• Vol.46 No.2
• CLINICA NEUROL, 46: 154−156, 2006
• Vol.46 No.2 contents

Brief Clinical Note

A case report of Streptococcus oralis meningitis after dental manipulation

Shoji Honda, M.D.¹⁾, Yuichiro Inatomi, M.D.¹⁾, Toshiro Yonehara, M.D.¹⁾, Yoichiro Hashimoto, M.D.²⁾, Teruyuki Hirano, M.D.³⁾ and Makoto Uchino, M.D.³⁾

¹⁾Department of Neurology, Stroke Center, Saiseikai Kumamoto Hospital
²⁾Department of Neurology, Kumamoto City Hospital
³⁾Department of Neurology, Graduate School of Medical Sciences, Kumamoto University

A 75-year-old man was admitted to our hospital because of high fever and disturbance of consciousness 4 days after dental treatment including scaling, irrigation, and oral antibiotic for dental caries without gingivitis. A lumber puncture revealed cloudy cerebrospinal fluid (CSF); it contained 984 leukocytes/mm³, 680 mg/dl of protein, 5 mg/dl of glucose (blood sugar 233 mg/dl), and Streptococcus oralis, one of common microorganisms on the gingival, was isolated from the CSF. He was successfully treated with intravenous antibiotics. The authors believe this patient's meningitis developed as a result of bacteremia after the dental scaling in the present case.

(CLINICA NEUROL, 46: 154−156, 2006)
key words: bacterial meningitis, Streptococcus oralis, Streptococcus viridans, dental manipulation

(Received: 18-Apr-05)