case_images: PMC8500762_01
case_images: CT brain image obtained in the emergency department indicating a diffuse cerebral edema consistent with meningoencephalitis.
case_images: CRICC2021-7227054.001.jpg
case_images: PMC8500762_01_CRICC2021-7227054.001.jpg
case_images: fig1
case_images: Initial computed tomography scan of the brain showed diffuse cerebral edema (Figure 1).
case_images: (a) Cerebrospinal fluid cultures revealed beta-hemolytic streptococci that could be identified as S. equi spp. zooepidemicus. (b) Gram staining of the cerebrospinal fluid culture showing gram-positive cocci.
case_images: CRICC2021-7227054.002.jpg
case_images: PMC8500762_01_CRICC2021-7227054.002.jpg
case_images: fig2
case_images: CSF cultures confirmed beta-hemolytic, gram-positive streptococci (Figure 2) which were positive for Lancefield group C that could subsequently be identified as S. equi subsp. zooepidemicus by mass spectrometry due to MALDI-TOF MS (Bruker ) using the MBT