Neurology: Case of the Month

Test Yourself — Patient 68

Meningitis with Group B Streptococcus bacteremia; Endocarditis involving the aortic valve; Diabetic ketoacidosis

1. Systemic infection with Group B beta-hemolytic Streptococcus (GBS) in nonpregnant adults is common:
   • [ A ] True
   • [ B ] False
2. Risk factors for infection with Group B beta-hemolytic Streptococcus (GBS) include all of the following EXCEPT:
   • [ A ] Neurogenic bladder
   • [ B ] Diabetes mellitus
   • [ C ] Cirrhosis
   • [ D ] Breast cancer
   • [ E ] Dental procedures
3. Which of the following is the MOST common source of infection leading to Group B beta-hemolytic Streptococcus (GBS) infection?
   • [ A ] Skin and soft tissue infections
   • [ B ] Endocarditis
   • [ C ] Meningitis
   • [ D ] Bacteremia without evidence of other focal infection
4. Absence of which of the following findings would EXCLUDE a diagnosis of bacterial meningitis?
   • [ A ] Fever
   • [ B ] Neck stiffness
   • [ C ] Documented or suspected source of infection
   • [ D ] Papilledema
   • [ E ] None of the above
5. Which of the following statements is FALSE?
   • [ A ] Endocarditis may be diagnosed in the absence of an audible heart murmur.
   • [ B ] Cephalosporins are highly effective in treating Group B beta-hemolytic Streptococcus (GBS) infection.
   • [ C ] Documenting an infectious source for GBS bacteremia makes little difference in the treatment approach.

 

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