Introduction. - Group B streptococcal meningitis is unusual in adults. It o
ccurs in patients with a chronic disease.
Exegesis. - We report a case of group B streptococcal meningitis that occur
red in a 32-year-old woman, uncovering inner ear congenital malformation as
sociated with cerebrospinal fluid fistula. There was no recurrent episode o
f meningitis during a 2-year period following surgical correction of the ma
lformation.
Conclusion. - Clinical signs suggesting cerebrospinal fluid fistula should
be considered in ally adult patient with severe group B streptococcal infec
tion. (C) 1999 Elsevier, Paris.