{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T15:53:46Z","timestamp":1777046026062,"version":"3.51.4"},"reference-count":12,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,4,1]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:p>\n                    <jats:italic>Streptococcus infantarius<\/jats:italic>\n                    subspecies\n                    <jats:italic>coli<\/jats:italic>\n                    (formerly\n                    <jats:italic>S. lutetiensis<\/jats:italic>\n                    ), a member of the\n                    <jats:italic>S. bovis\/S. equinus<\/jats:italic>\n                    complex (SBSEC), is a rare cause of neonatal and infantile infection. In contrast to more common pathogens seen in this age group (ie,\n                    <jats:italic>S. agalactiae<\/jats:italic>\n                    (group B Streptococcus)), SBSEC organisms are infrequently implicated in neonatal and infantile meningitis. A previously healthy infant male presented with fever, irritability and poor feeding. Lumbar puncture revealed cloudy cerebrospinal fluid with elevated white cells, high protein and low glucose. Gram stain showed polymorphonuclear leucocytes without visible organisms; culture later grew\n                    <jats:italic>S. infantarius<\/jats:italic>\n                    subspecies\n                    <jats:italic>coli<\/jats:italic>\n                    at 48 hours of incubation. MRI findings were consistent with leptomeningitis (figure 1) and early ventriculitis (figure 2). The patient was treated with ceftriaxone for 21 days, with full clinical recovery.\n                    <jats:italic>S. infantarius<\/jats:italic>\n                    subspecies\n                    <jats:italic>coli<\/jats:italic>\n                    differs from\n                    <jats:italic>S. gallolyticus<\/jats:italic>\n                    in epidemiology and reported incidence. Accurate species identification is essential for proper management, prognosis and epidemiologic understanding. Increased clinical awareness and molecular diagnostics are key to uncovering the true burden of this rare pathogen.\n                  <\/jats:p>","DOI":"10.1136\/bcr-2025-269524","type":"journal-article","created":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T14:30:24Z","timestamp":1777041024000},"page":"e269524","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Infantile meningitis caused by\n                    <i>Streptococcus infantarius<\/i>\n                    subspecies\n                    <i>coli<\/i>\n                    (formerly\n                    <i>S. lutetiensis<\/i>\n                    )"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5872-523X","authenticated-orcid":false,"given":"Yash","family":"Jani","sequence":"first","affiliation":[{"name":"Medical College of Georgia, Medical College of Georgia, Augusta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-9963-8244","authenticated-orcid":false,"given":"Amogh","family":"Gadekar","sequence":"additional","affiliation":[{"name":"Medical College of Georgia, Medical College of Georgia, Augusta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6870-4392","authenticated-orcid":false,"given":"Kathryn","family":"McLeod","sequence":"additional","affiliation":[{"name":"Pediatrics, Augusta University Medical College of Georgia, Augusta, Georgia, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ingrid","family":"Camelo","sequence":"additional","affiliation":[{"name":"Pediatric Infectious Disease, Johns Hopkins All Children\u2019s Hospital, St. Petersburg, Florida, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2026,4,24]]},"reference":[{"key":"2026042407301491000_19.4.e269524.1","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.02977-15"},{"key":"2026042407301491000_19.4.e269524.2","doi-asserted-by":"publisher","DOI":"10.1097\/INF.0000000000000513"},{"key":"2026042407301491000_19.4.e269524.3","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1979.02130110057009"},{"key":"2026042407301491000_19.4.e269524.4","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-200009000-00019"},{"key":"2026042407301491000_19.4.e269524.5","doi-asserted-by":"crossref","first-page":"68","DOI":"10.7883\/yoken.JJID.2017.053","article-title":"Unexpected Ventriculitis Complication of Neonatal Meningitis Caused by Streptococcus gallolyticus Subsp. pasteurianus: a Case Report","volume":"71","author":"Yamamura","year":"2018","journal-title":"Jpn J Infect Dis"},{"key":"2026042407301491000_19.4.e269524.6","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.05635-11"},{"key":"2026042407301491000_19.4.e269524.7","doi-asserted-by":"crossref","first-page":"1078","DOI":"10.1016\/j.jmii.2020.07.004","article-title":"Clustering of Streptococcus gallolyticus subspecies pasteurianus bacteremia and meningitis in neonates","volume":"54","author":"Chen","year":"2021","journal-title":"J Microbiol Immunol Infect"},{"key":"2026042407301491000_19.4.e269524.8","doi-asserted-by":"crossref","unstructured":"Nguyen MT , Idriss S , Guzman E , et al . Neonatal meningitis, endocarditis, and pneumonitis due to Streptococcus gallolyticus subsp. pasteurianus: a case report. BMC Pediatr 2019;19. doi:10.1186\/s12887-019-1645-x","DOI":"10.1186\/s12887-019-1645-x"},{"key":"2026042407301491000_19.4.e269524.9","first-page":"145","article-title":"Early onset neonatal bacterial meningitis caused by Streptococcus gallolyticus subsp. paste urianus","volume":"43","author":"Thatrimontrichai","year":"2012","journal-title":"Southeast Asian J Trop Med Public Health"},{"key":"2026042407301491000_19.4.e269524.10","doi-asserted-by":"publisher","DOI":"10.1128\/JCM.05635-11"},{"key":"2026042407301491000_19.4.e269524.11","doi-asserted-by":"crossref","first-page":"e494","DOI":"10.1097\/INF.0000000000003682","article-title":"Invasive Streptococcus Gallolyticus Infections in Infants At Texas Children\u2019s Hospital: A 9-Year Retrospective Review","volume":"41","author":"Orbea","year":"2022","journal-title":"Pediatr Infect Dis J"},{"key":"2026042407301491000_19.4.e269524.12","doi-asserted-by":"publisher","DOI":"10.1097\/01.inf.0000240334.91713.48"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2025-269524","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,24]],"date-time":"2026-04-24T14:30:27Z","timestamp":1777041027000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2025-269524"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2026,4,24]]},"published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1136\/bcr-2025-269524"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2025-269524","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]}}}