STREPTOCOCCUS (VIRIDANS) MENINGITIS WITH RECOVERY

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Abstract
The streptococcus is not commonly involved in meningeal infections, but the disease, when once in progress, is highly fatal. Kolmer,1in fact, has set the mortality rate at nearly 100 per cent. However, instances of recovery from streptococcic meningitis have been reported. Comprehensive reviews of the literature on this subject have been made by Rosenberg and Nottley2and by Appelbaum.3The last named author was able to gather forty-six cases, including three of his own. Since his paper, eleven new cases have been added to the literature.4 A brief survey of the fifty-seven cases available for study shows the following facts: The onset usually followed an infection of the upper respiratory tract. The organisms that have been isolated include both the hemolytic and nonhemolytic types and Streptococcus viridans was definitely involved in only four instances. Trauma was directly responsible for the meningeal infection in four cases,

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