J Med Assoc Thai 1997; 80 (1):63

Views: 1,355 | Downloads: 26 | Responses: 0

PDF XML Respond to this article Print Alert & updates Request permissions Email to a friend


Streptococcus suis Toxic-shock Syndrome and Meningitis
Leelarasamee A Mail, Nilakul C , Tiengrim S , Srifuengfung S , Susaengrat W

Three cases with S. suis bacteremia and meningitis were reported. The first case was a 23-
year-old butcher who was a regular drinker of alcohol for two years and developed streptococcal
toxic-shock syndrome. The organism was transmitted to him through a minor cut in his right arm.
The second cases was a 49-year-old female laborer who had been consuming locally produced
alcohol for 20 years and developed fever and meningitis. Unfortunately, she succumbed in seven
days despite intensive supportive and cefotaxime treatments. The third case was a 45-year-old
regular alcoholic drinker and car painter who was seen at a private hospital due to contusion at his
left lateral chest wall. However, fever and confusion due to meningitis was detected upon admission.
Irreversible deafness developed within 48 hours of ceftriaxone therapy for meningitis. He
finally recovered with deafness. S. suis was isolated from blood and cerebrospinal fluid cultures
in all three cases though initially reported to be viridans group of streptococci.

Download: PDF