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February 1978

Group B Streptococcal Meningitis Associated With a CSF Fistula

Author Affiliations

From the Infectious Disease Division, Department of Medicine, Mount Sinai Hospital, Hartford, Conn.

Arch Neurol. 1978;35(2):114-115. doi:10.1001/archneur.1978.00500260052014

• An elderly man had group B streptococcal meningitis. The infection may have seeded the meninges through a rhinocerebral fistula. Despite the frequency of nasopharyngeal colonization with this organism, reports of adult meningitis secondary to group B Streptococcus are rare; to our knowledge, no previous cases specifically associated with rhinocerebral fistula have been described. Reasons for the discrepancy between the frequency of nasopharyngeal colonization and the rarity of meningitis are suggested.