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Streptococcus suis meningoencephalitis with seizure from raw pork ingestion: a case report
Suwarat Wongjittraporn1, Ornusa Teerasukjinda1, Melvin Yee1
1John A. Burns School of Medicine, Univeristy of Hawai'i, Honolulu, HI.
Background:
Streptococcus suis meningoencephalitis is a rare but increasingly important condition. Good history taking will give clues to the diagnosis. This is the fourth case report in the United States.
Case:
A 52-year-old Filipino man who recently returned from a trip to the Philippines was admitted with classic symptoms of bacterial meningitis. His cerebrospinal fluid culture grew Streptococcus suis. His clinical course was complicated by seizures, hearing loss, and permanent tinnitus.
Conclusion:
Clinicians should be aware of this emerging disease especially in patients with recent travel history to endemic areas. Early recognition and appropriate management could potentially prevent complications.
Insights
Streptococcus suis meningoencephalitis, a rare bacterial meningitis, is increasingly recognized. Early diagnosis and treatment are crucial to prevent severe complications like hearing loss.
Area of Science:
- Infectious Diseases
- Neurology
- Microbiology
Background:
- Streptococcus suis meningoencephalitis is an emerging infectious disease.
- It is a rare but significant cause of bacterial meningitis.
- This report details the fourth case in the United States.
Observation:
- A 52-year-old Filipino man presented with symptoms of bacterial meningitis after returning from the Philippines.
- Cerebrospinal fluid culture confirmed Streptococcus suis infection.
- The patient experienced seizures, hearing loss, and tinnitus.
Findings:
- The case highlights Streptococcus suis as a cause of bacterial meningitis in travelers.
- Clinical presentation included classic meningitis symptoms.
- Neurological complications were observed.
Implications:
- Clinicians must consider Streptococcus suis in patients with meningitis and relevant travel history.
- Prompt diagnosis and management are vital to mitigate severe outcomes.
- Awareness of this emerging pathogen is critical for public health.
