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[Fulminant sepsis caused by Streptococcus suis].

B C van Jaarsveld1, E van Kregten, R G van Kesteren

  • 1Afd. Interne Geneeskunde, St. Elisabeth Ziekenhuis, Amersfoort.

Nederlands Tijdschrift Voor Geneeskunde
|July 28, 1990
PubMed
Summary

Streptococcus suis type 2 infection caused a rare and fatal septic shock in a man daily exposed to pigs. This zoonotic bacterium typically causes meningitis, but sepsis with multiple organ failure is a severe, uncommon outcome.

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Area of Science:

  • Veterinary Medicine
  • Infectious Diseases
  • Public Health

Background:

  • Streptococcus suis is a zoonotic bacterium commonly found in pigs.
  • Human infections typically occur through close contact with pigs or pork products.
  • The usual clinical presentation in humans is meningitis.

Observation:

  • A 26-year-old man with daily pig contact presented with septic shock.
  • The infection was attributed to Streptococcus suis type 2.
  • Despite prompt antibiotic treatment, the patient developed severe multiple organ failure, including ARDS, cardiac failure, DIC, and acute renal failure.

Findings:

  • This case highlights a rare and fatal presentation of Streptococcus suis infection as septic shock.
  • Septic shock and subsequent multiple organ failure are uncommon manifestations of this zoonosis.

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  • The bacterium's prevalence in the Dutch pig population underscores the risk of transmission.

    • Implications:

    • Emphasizes the need for heightened awareness of Streptococcus suis as a potential cause of severe sepsis in individuals with occupational or frequent exposure to pigs.
    • Underscores the importance of early recognition and aggressive management for severe Streptococcus suis infections.
    • Highlights the public health significance of zoonotic diseases originating from livestock.