Streptococcus agalactiae Meningitis in an Adult: A Case Report.

Streptococcus agalactiae meningitis is usually observed among neonates. We present a rare case of Streptococcus agalactiae meningitis in a 33-year-old immunocompromised male patient with Burkitt lymphoma. Initially, the patient exhibited nonspecific symptoms, including postprandial vomiting, blurred vision, and episodic memory loss. Cerebrospinal fluid (CSF) analysis and imaging revealed meningitis. Empiric antibiotic therapy with ceftriaxone and vancomycin, followed by targeted ampicillin treatment, resulted in complete resolution. This case highlights the importance of considering unusual pathogens in immunocompromised patients with nonspecific symptoms and underscores the need for prompt diagnosis and targeted antibiotic therapy.