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[Streptococcus suis meningitis]

D E Geffner Sclarsky1, R Moreno Muñoz, M S Campillo Alpera

  • 1Servicio de Neurología, Hospital General de Castellón, AvdA. Benicásim s/n. 12004 Castellón.

Anales De Medicina Interna (Madrid, Spain : 1984)
|August 16, 2001
PubMed

Insights

Human Streptococcus suis (S. suis) meningitis is a rare zoonotic disease. This report details two Spanish cases in pork industry workers, highlighting neurological sequelae and recovery.

Area of Science:

  • Infectious Diseases
  • Neurology
  • Zoonotic Diseases

Background:

  • Streptococcus suis (S. suis) causes zoonotic infections, primarily meningitis, with significant neurological sequelae like hearing loss and ataxia.
  • Human S. suis cases are rare globally, with fewer than 150 reported in 30 years, predominantly in Northern Europe and South Asia.
  • Previous reports in Spain are limited, underscoring the rarity of this infection in the region.

Observation:

  • Two male patients presented with S. suis meningitis within a month.
  • Both patients had occupations linked to pork meat handling.
  • Clinical presentation included neurosensorial hearing loss and walking ataxia.

Findings:

  • One patient experienced peripheral facial paralysis and diplopia due to sixth nerve paresis.
  • Both patients achieved a good clinical outcome.
  • Neurological deficits, including hearing loss and ataxia, were noted in both cases, with full resolution of cranial nerve palsies in one patient within three months.

Implications:

  • The rare occurrence of S. suis meningitis in Spain necessitates increased awareness among healthcare professionals.
  • Occupational risk assessment, particularly for individuals in the pork industry, is crucial for early diagnosis.
  • Prompt recognition and management can lead to favorable outcomes, despite potential neurological sequelae.

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