Bacterial meningitis due to the group in children with cerebrospinal fluid leak.

The group constitutes a part of the oral flora in humans and has been reported to cause infective endocarditis, brain abscesses, sepsis, pneumonia, and peritonitis. However, the group rarely causes meningitis in children. We experienced a case of bacterial meningitis due to the group in a 14-year-old girl with Gorham-Stout disease undergoing treatment with sirolimus for skull base osteolysis and cerebrospinal fluid (CSF) leak. Antibiotic treatment was initiated with linezolid and levofloxacin due to allergies against β-lactam antibiotics. On the third treatment day, antibiotics were switched to penicillin G according to CSF culture results, which were positive for penicillin-susceptible group. Antibiotic therapy was successfully completed after 14 days without any neurological sequelae. There have apparently been no reports of meningitis in pediatric patients with skull base osteolysis and CSF leak as in our case. Our findings suggest that clinicians should be aware of the possibility of meningitis for patients with skull base osteolysis and/or CSF leakage.