• 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.
Lentnek AL, Ferguson R, Fierer E. Group B Streptococcal Meningitis Associated With a CSF Fistula. Arch Neurol. 1978;35(2):114–115. doi:10.1001/archneur.1978.00500260052014
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