INTRODUCTION: We present the first case of a @entity3553 caused by Streptococcus pluranimalium, in a healthy adolescent male as a possible complication of @entity12476 . Clinical features, diagnostic approach and management of @entity3553 are discussed. PRESENTATION OF CASE: A 17-year-old male with a 2 day history of @entity10 and @entity390 was referred to our Emergency Department (ED) as a case of possible @entity693 . He was afebrile, lethargic and drowsy with significant neck stiffness on examination. Computerized tomography (CT) revealed a large frontotemporoparietal subdural fluid collection with significant midline shift. Subsequent contrast-enhanced CT established the presence of intracranial @entity3509 ; the @entity1 underwent immediate burr-hole evacuation of the pus and received 7 weeks of intravenous antibiotics, recovering with no residual @entity51 . DISCUSSION: The diagnosis of @entity3553 as a complication of asymptomatic @entity1244 in an immunocompetent @entity1 with no history of @entity221 or upper respiratory symptoms was unanticipated. Furthermore, the organism Streptococcus pluranimalium that was cultured from the pus has only been documented twice previously in medical literature to cause @entity281 in @entity1 , as it is primarily a pathogen responsible for @entity281 in @entity291 and avian species. CONCLUSION: @entity3553 represents a @entity341 and if left untreated is invariably fatal. Rapid diagnosis, surgical intervention and intensive antibiotic therapy improve both morbidity and mortality.

Streptococcus pluranimalium: A novel XXXX pathogen?

@entity1 :: ('9606', 'Species') :: ['humans', 'patient'] @entity1244 :: ('MESH:D012852', 'Disease') :: ['sinusitis'] @entity3553 :: ('MESH:D013354', 'Disease') :: ['subdural empyema', 'Subdural empyema'] @entity12476 :: ('MESH:D015522', 'Disease') :: ['subclinical frontal sinusitis'] @entity390 :: ('MESH:D009325', 'Disease') :: ['nausea'] @entity291 :: ('9913', 'Species') :: ['bovine'] @entity341 :: ('MESH:D004630', 'Disease') :: ['neurosurgical emergency'] @entity3509 :: ('MESH:D004653', 'Disease') :: ['empyema'] @entity693 :: ('MESH:D008581', 'Disease') :: ['meningitis'] @entity51 :: ('MESH:D009461', 'Disease') :: ['neurological deficit'] @entity281 :: ('MESH:D007239', 'Disease') :: ['infection'] @entity10 :: ('MESH:D006261', 'Disease') :: ['headache'] @entity221 :: ('MESH:D005334', 'Disease') :: ['fever']
@entity1 :: (9606,Species) :: ['human']
