[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.

Acta Medica Portuguesa
|September 10, 2014
PubMed

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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