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Published on: November 5, 2019
[Acute bacterial meningitis as an occupational disease]
Diana Seixas1, Ana Lebre1, Pedro Crespo1
1Serviço de Doenças Infecciosas. Centro Hospitalar e Universitário de Coimbra. Coimbra. Portugal.
Abstract:
Streptococcus suis is a zoonotic pathogen with worldwide distribution, responsible for more than 700 human cases globally reported. This infection affects mostly men, exposed to pig or pork, which leads to its usual classification as an occupational disease. We report a case of acute bacterial meningitis in a 44 years old male. According to his past medical history, the patient had chronic alcoholism and worked in a restaurant as a piglet roaster. Microbiological examination of blood and CSF revealed S. suis. After 14 days of ceftriaxone the patient fully recovered. The authors review the clinical reports previously described in Portugal. In all of them was possible to identify risk exposition to pork. We alert to this microorganism's importance in Portugal where it is probably underdiagnosed.
Insights
Streptococcus suis, a zoonotic bacterium, caused meningitis in a man who prepared piglets. Prompt antibiotic treatment led to full recovery, highlighting potential underdiagnosis in Portugal.
Area of Science:
- Infectious Diseases
- Microbiology
- Public Health
Background:
- Streptococcus suis is a zoonotic pathogen causing significant human infections globally.
- It is often associated with occupational exposure to pigs or pork products.
- The bacterium is a known cause of meningitis and other severe infections.
Observation:
- A case of acute bacterial meningitis is presented in a 44-year-old male restaurant worker who roasted piglets.
- The patient had a history of chronic alcoholism.
- Microbiological analysis confirmed Streptococcus suis in blood and cerebrospinal fluid (CSF).
Findings:
- The patient fully recovered after a 14-day course of ceftriaxone.
- A review of clinical reports in Portugal revealed a consistent link to pork exposure in all identified cases.
- Streptococcus suis infections may be underdiagnosed in Portugal.
Implications:
- This case underscores the importance of considering Streptococcus suis in meningitis cases, especially in individuals with occupational exposure to pigs.
- Enhanced diagnostic awareness is crucial for timely treatment and improved patient outcomes.
- Public health initiatives may be needed to address potential underdiagnosis and improve surveillance of this zoonotic pathogen in Portugal.
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