Acute Meningitis by Streptococcus suis

Öz

Anahtar Kelimeler

• -

Acute Meningitis by Streptococcus suis

Abstract

Maria-Jesus Corrales-Arroyo, Maria Angeles Del Real-Francia, Amalia Hernandez-Gonzalez, Gema Lopez-Gallardo, Jose Manuel Morales Puebla, Juan Jose Caston-Osorio Streptococcus suis is a coccus Gram positive, anaerobic optional. Human infection by this microorganism is a zoonotic disease that usually presents as purulent meningitis. Mortality is low but is common sequelae. A case of meningitis by S. suis secondary to contact with pigs is presented here. A 35-year-old male patient was admitted to the hospital complaining of high fever, malaise, vomiting and headache. A physical examination revealed decreased level of consciousness, with adequate response to painful stimulus and his eyes with deconjugated gaze. S. suis was isolated in blood culture. He was treated with cefotaxime, vancomycin and acyclovir in the intensive care unit. He experienced progressive improvement. He was discharged with severe deafness and a minimally unstable gait as sequellae.

Keywords

• meningitis,streptococus

Kaynakça

1. Geffner DE, Moreno F, Campillo MS, Pardo FJ, Gómez A, Mar- tínez MD. Meningitis por Streptococcus suis. An Med Interna 2001; 8:317-318.
2. Amass S, Clark LD, Knox KE, Wu CC, Hill MA. Streptococcus suis colonization of piglets during parturition. J Swine Health Prod 1996;4:269-272.
3. Zielinski G. Enfermedades re-emergentes: infecciones por Streptococcus suis Haemophilus parasuis. Instituto Nacional de Tecnología Agropecuaria. Estación Experimental Marcos Juárez 2006. Available at: http://www.inta.gov.ar/mjuarez/ info/documentos/sanidadanimal/enfreem06.htm.
4. Perch B, Kristjansen P, Skadhauge K. Group R streptococci pathogenic for man. Two cases of meningitis and one fatal case of sepsis. Acta Pathol Microbiol Scand 1968; 74:69-76.
5. Martinez P, Justado JJ, Gómez J, Solis J. Sacroileitis por Streptococcus suis tipo II. An Med interna 1994;11:309-310.
6. Halaby T, Hoitsma E, Hupperts R, Spanjaard L, Luirink M, Ja- cobs J. Streptococcus suis meningitis, a poacher risk. Eur J Clin Microbiol Infect Dis 2000;19:943-945.
7. Laohapensang K, Rutherfor RB, Arworn S. Mycotic abdominar aortic aneurysm due to Streptococcus suis: a case report. Surg Infec 2010;11:179-181.
8. Asensi JM, Asenci V, Arias M, Moreno A, Perez F, Navarro R. Meningitis por Streptococcus suis A propósito de dos casos y revisión de la literatura. Enfer Infecc Microbiol Clin 2001;19:186-188.

9. Gallagher F. Streptococcus Infección and splenectomy. The Lancet 2001; 357:1129-1130.
10. Kay R, Cheng AF, Tse CY. Streptococcus suis infection in Hong Kong. Q J Med 1995;88:39-47.
11. Kopic J, Paradzik MT, Pandak N. Streptococcus suis infection as a cause of severe illness: 2 cases from Croatia. Scand J Infect Dis 2002; 34:683-4.
12. Caye-Thomasen P, Dam MS, Omland SH, Mantoni M. Co- chlear ossification in patients with profound hearing loss fol- lowing bacterial meningitis. Acta Otolaryngol 2012; 7:720-5.
13. Viccaro M, Covelli E, De Seta E, Balsamo G, Filipo R. The importance of intra-operative imaging during cochlear im- plant surgery. Cochlear Implants Int 2009;4:198-202.
14. Nagel A, Manias V, Busquets N, Sniadowsky S, Anzardi J, de los A. Mendez E. Meningitis por Streptococcus suis en un paciente inmunocompetente. Revista argentina de Microbi- ología 2008; 40:158-160.
15. Geffner Sclarsky DE, Moreno Muñoz R, Campillo Alpera MS, Pardo Serrano FJ, Gómez Gómez A, Martinez Lozano MD. Meningitis por Streptococcus suis. An Med Interna 2001;18: 317-318.