Streptococcus suis infection
Journal
Journal of Microbiology, Immunology and Infection
Journal Volume
38
Journal Issue
5
Pages
306-313
Date Issued
2005
Author(s)
Abstract
A recent outbreak of Streptococcus suis infection associated with the slaughter, preparation or consumption of pigs in Sichuan, China has led to concerns that similar outbreaks could occur in other Asian countries. Although the pig farming industry is flourishing in Taiwan, reports of S. suis infection remain rare. We report 2 cases of S. suis meningitis successfully treated with ceftriaxone and penicillin. Previous reports of S. suis infection from the English literature are reviewed and the clinical data of cases reported in Asian and European countries are summarized. In Europe, there was good correlation between clinical disease and porcine contact, while few cases in Asia reported this association. Meningitis remained the most common presentation of infection in both areas (84.6% and 75.2%, respectively), followed by sepsis (15.4% and 18.6%, respectively), which had a higher mortality rate, particularly for splenectomized patients. Other clinical presentations included enteritis, arthritis, endocarditis, pneumonia, spondylodiscitis, endophthalmitis, uveitis and peritonitis. Deafness was a distinct sequelae (50.5% in Europe and 51.9% in Asia) after recovery from S. suis infection, especially in patients with meningitis. Not all commercial identification systems for streptpcocci could offer adequate speciation for S. suis. When viridans group streptococci are isolated from patients with meningitis and sepsis, prompt and correct identification of isolates to the species level should be performed, especially in areas with a high prevalence of S. suis diseases.
SDGs
Other Subjects
ampicillin; ceftriaxone; penicillin G; valproic acid; adult; antibiotic therapy; arthritis; bacterium identification; case report; clinical feature; diagnostic accuracy; endocarditis; endophthalmitis; enteritis; epidemic; female; focal epilepsy; hearing impairment; human; infection risk; intervertebral disk degeneration; meningitis; mortality; nucleotide sequence; peritonitis; photophobia; pig farming; pneumonia; pruritus; review; risk factor; sepsis; Streptococcus infection; Streptococcus suis; symptom; Taiwan; uveitis; Adolescent; Adult; Child; Child, Preschool; Deafness; Female; Humans; Infant; Infant, Newborn; Male; Meningitis, Bacterial; Middle Aged; Risk Factors; Streptococcal Infections; Streptococcus suis; Zoonoses
Type
review