A 54-Years-Old Man Known Case of Hypertension, Diabetes Mellitus, Obesity Having Pyogenic Meningitis Due to Streptococcus Agalactiea Complicated by Multiple Small Abscesses Over Meninges, Metabolic Acidosis, Acute Kidney Injury, Transaminitis, DIC And ARD

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Published: Sep 2, 2025
DOI: https://doi.org/10.47191/ijmscrs/v5-i09-01
Keywords:
pyogenic meningitis, Streptococcus agalactiea, metabolic acidosis, acute kidney injury, transaminitis, DIC, ARDS

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Khin Phyu Pyar
Professor, Senior Consultant Physician and Nephrologist, Former Head of Department of Medicine/ Former Head of Department of Nephrology, Defence Services Medical Academy/ No. (1) Defence Services General Hospital (1,000-Bedded), Yangon, Myanmar.
Moe Zaw Myint
Senior Consultant Physician, Department of Medicine, No. (1) Defence Services General Hospital (1,000-Bedded)
Khine Lwin
Senior Consultant Physician, Department of Medicine, No. (1) Defence Services General Hospital (1,000-Bedded)
Sa Thiha
Consultant Physician, Department of Medicine, No. (1) Defence Services General Hospital (1,000-Bedded)
Thaw Zin Oo
Consultant Physician, Department of Medicine, No. (1) Defence Services General Hospital (1,000-Bedded)
Nay Myo Lwin
Senior Consultant Intensivist, Intensive Care Unit, No. (1) Defence Services General Hospital (1,000-Bedded)
Thidar Sein
Senior Consultant Radiologist, Department of Radiology, No. (1) Defence Services General Hospital (1,000-Bedded)
Hein Zaw Zaw
Consultant Neurologist, Department of Neurology, No. (1) Defence Services General Hospital (1,000-Bedded)
Sai Naing
Consultant Physician, Department of Medicine, No. (1) Defence Services General Hospital (1,000-Bedded)
Min Zin
Junior Physician, Department of Medicine, No. (1) Defence Services General Hospital (1,000-Bedded)
Ye Zarni
Consultant Physician, Department of Medicine, No. (1) Defence Services General Hospital (1,000-Bedded)
Kyaw Wunna
Senior Consultant Microbiologist, Department of Microbiology, No. (1) Defence Services General Hospital (1,000-Bedded)
Hein Zaw
Consultant Pathologist, Department of Pathology, No. (1) Defence Services General Hospital (1,000-Bedded)

Abstract

Case Summary


A 54-years-old man presented with 3 days history of fever and headache followed by acute confusion. He was a known case of hypertension and diabetes mellitus for 10 years. He was obese; neck rigidity was noted; Glasgow Coma Scale was 9/15 (E3,V1, M5). Cerebrospinal fluid examination showed high protein, low normal sugar with cells predominantly neutrophils compatible with pyogenic meningitis; Streptococcus agalactiea was detected in CSF. It was complicated by metabolic acidosis, acute kidney injury, transaminitis, DIC and ARDS. He passed away 58 hours after hospitalization. Autopsy findings were discussed.

Article Details

How to Cite
Pyar, Khin Phyu, Moe Zaw Myint, Khine Lwin, Sa Thiha, Thaw Zin Oo, Nay Myo Lwin, Thidar Sein, Hein Zaw Zaw, Sai Naing, Min Zin, Ye Zarni, Kyaw Wunna, and Hein Zaw. 2025. “A 54-Years-Old Man Known Case of Hypertension, Diabetes Mellitus, Obesity Having Pyogenic Meningitis Due to Streptococcus Agalactiea Complicated by Multiple Small Abscesses Over Meninges, Metabolic Acidosis, Acute Kidney Injury, Transaminitis, DIC And ARD”. International Journal of Medical Science and Clinical Research Studies 5 (09):1494-1509. https://doi.org/10.47191/ijmscrs/v5-i09-01.
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Vol. 5 No. 09 (2025): Volume 05 Issue 09 September 2025
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Articles
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This work is licensed under a Creative Commons Attribution 4.0 International License.

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