A Case of Infective Endocarditis and Meningitis Caused byStreptococcus agalactiae

It is well known that newborns and pregnant women typically show higher rates of Streptococcus agalactiae infection. However,\nthe incidence of group B streptococcal (GBS) disease in nonpregnant adults is increasing, particularly in elderly persons and those\nwith significant underlying diseases, such as diabetes, neurologic impairment, and cirrhosis. Skin infections, osteoarticular\ninfections, and pneumonia are commonly associated with GBS, while meningitis and endocarditis are less common. S. agalactiae\nendocarditis is an uncommon but important condition with a high mortality rate. Several cases of endocarditis due to S. agalactiae\nhave been reported in the literature, but there have been no reports of S. agalactiae meningitis associated with endocarditis in Korea.\nHere, we describe a case of S. agalactiae meningitis and endocarditis in a 50-year-old man who was successfully treated with intravenous\nantibiotics and cardiac surgery. (Korean J Med 2013;85:435-438)\nKeywords: Endocarditis, Meningitis; Streptococcus agalactiae