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Streptococcus suis infection in Thailand.
Ratha-Korn Vilaichone1, Warakarn Vilaichone, Pongpun Nunthapisud
1Department of Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Summary
Streptococcus suis infections in humans are a concern, particularly for those with occupational exposure to pigs or pork products. Early detection and prompt treatment are crucial for managing this bacterial infection.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Streptococcus suis is a zoonotic bacterium with significant implications for human health.
- Human infections are often associated with occupational exposure to pigs and pork products.
- Limited data exists on the epidemiology of Streptococcus suis in Thailand.
Purpose of the Study:
- To retrospectively analyze cases of Streptococcus suis infection in humans in Thailand.
- To identify risk factors, clinical presentations, and outcomes of these infections.
- To inform public health surveillance and prevention strategies.
Main Methods:
- Retrospective review of human Streptococcus suis infections reported to the National Streptococcal Reference Center of Thailand (1994-2001).
- Data collection included patient demographics, exposure history, underlying conditions, clinical manifestations, and treatment outcomes.
- Descriptive statistical analysis was performed.
Main Results:
- Eleven men and six women were identified, with a mean age of 46.24 years.
- Occupational and behavioral exposures to pork were noted in several patients.
- Common clinical presentations included bacterial meningitis, infective endocarditis, sepsis syndrome, pneumonia, and spontaneous bacterial peritonitis.
- Underlying diseases and history of skin injury were observed in some patients.
Conclusions:
- Streptococcus suis infections pose a significant public health threat, especially in regions with extensive pig farming and pork consumption.
- Underreporting of cases is suspected, highlighting the need for enhanced surveillance.
- Prevention strategies should focus on public health awareness, prompt wound management in pork handlers, and early clinical suspicion for effective antimicrobial treatment.