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Streptococcus suis meningitis in Thailand.

Chusana Suankratay1, Poj Intalapaporn, Pongpun Nunthapisud

  • 1Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Chulalongkom, Thailand. schusana@hotmail.com

The Southeast Asian Journal of Tropical Medicine and Public Health
|May 27, 2005
PubMed
Summary

Streptococcus suis meningitis is a significant cause of adult meningitis. This study compares cases from Thailand, Hong Kong, and the Netherlands, finding similar outcomes but more skin infections in Asian cases.

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Area of Science:

  • Infectious Diseases
  • Neurology
  • Bacteriology

Background:

  • Streptococcus suis is a notable cause of bacterial meningitis in adults.
  • Limited large-scale case series exist for Streptococcus suis meningitis, primarily from Hong Kong and the Netherlands.

Purpose of the Study:

  • To describe clinical and epidemiological features of Streptococcus suis meningitis in Bangkok.
  • To compare Thai cases with existing data from Hong Kong and the Netherlands.

Main Methods:

  • Retrospective review of twelve Streptococcus suis meningitis cases admitted to Chulalongkorn University Hospital (1997-2002).
  • Comparative analysis with published case series from Hong Kong and the Netherlands.

Main Results:

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  • No significant differences in meningitis presentation or outcomes were found between Thailand, Hong Kong, and the Netherlands.
  • Cases from Thailand and Hong Kong showed a higher incidence of associated skin and soft tissue infections.
  • Streptococcus suis meningitis can present with either an acute or a more chronic clinical course.

    • Conclusions:

    • Streptococcus suis meningitis shares common clinical and epidemiological characteristics across different geographical regions.
    • The higher prevalence of skin and soft tissue infections in Thai and Hong Kong cases warrants further investigation.
    • Understanding the varied clinical presentations is crucial for timely diagnosis and management of Streptococcus suis meningitis.