Case Report
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2024; 12(31): 6472-6478
Published online Nov 6, 2024. doi: 10.12998/wjcc.v12.i31.6472
Infantile bacterial meningitis combined with sepsis caused by Streptococcus gallolyticus subspecies pasteurianus: A case report
Dan Zou, Fen Li, Shu-Li Jiao, Jin-Rong Dong, Yao-Yao Xiao, Xiao-Ling Yan, Yan Li, Dan Ren
Dan Zou, Shu-Li Jiao, Jin-Rong Dong, Yao-Yao Xiao, Xiao-Ling Yan, Yan Li, Dan Ren, Department of Pediatrics, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang 621000, Sichuan Province, China
Fen Li, Department of Clinical Laboratory, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Mianyang 621000, Sichuan Province, China
Author contributions: Zou D wrote the manuscript and provided treatment; Li F contributed to laboratory examinations; Jiao SL, Dong JR, Xiao YY and Yan XL collaborated on the treatment; Li Y secured funding; Ren D guided the treatment and revised the manuscript.
Supported by the Scientific Research Project from the Health Commission of Mianyang City, No. 201903.
Informed consent statement: The patient's legal guardian provided written informed consent for the publication of this report and any accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Dan Ren, MMed, Associate Chief Physician, Department of Pediatrics, Mianyang Central Hospital, School of Medicine, University of Electronic Science and Technology of China, No. 12 Changjia Lane, Jingzhong Street, Fucheng, Mianyang 621000, Sichuan Province, China. 584926501@qq.com
Received: March 22, 2024
Revised: August 14, 2024
Accepted: August 21, 2024
Published online: November 6, 2024
Processing time: 172 Days and 16 Hours
Core Tip

Core Tip: We present a case of infant meningitis and sepsis caused by Streptococcus gallolyticus subspecies pasteurianus (SGSP), accompanied by bronchopneumonia induced by multidrug-resistant Staphylococcus aureus. The etiological classification and drug resistance profiles of the pathogens were confirmed through timely cultures of blood, cerebrospinal fluid, and sputum. The patient was effectively treated with a combined antibiotic anti-infection regimen, had no complications or sequelae and showed normal growth and development after discharge. Since SGSP is a rare pathogen that causes bacterial meningitis in infants, with unclear mechanisms and routes of infection, this report can provide a reference for the treatment and study of similar cases.