Streptococcus suis-Associated Meningitis, Bali, Indonesia, 2014-2017
Emerging Infectious Diseases
|November 20, 2019
Summary
Bacterial meningitis caused by Streptococcus suis is a growing concern in Asia. In Bali, Indonesia, this emerging zoonotic pathogen caused 44 meningitis cases between 2014-2017, with serotype 2 being most common.
Area of Science:
- Microbiology
- Epidemiology
- Infectious Diseases
Background:
- Streptococcus suis is an emerging zoonotic pathogen causing bacterial meningitis, particularly in Asia.
- Understanding the epidemiology and clinical presentation of S. suis meningitis is crucial for public health interventions.
Observation:
- A study in Bali, Indonesia, analyzed 71 meningitis cases from 2014-2017.
- Microbiological assays, including VITEK 2 COMPACT, gene sequencing, and PCR serotyping, were used for diagnosis.
Findings:
- Of 71 cases, 44 were confirmed as Streptococcus suis meningitis.
- Serotype 2 was the predominant isolate (29 cases).
- The average patient age was 48.1 years, with 89% being male. Case-fatality rate was 11%, with complications including septic shock, deafness, and arthritis.
Implications:
- Findings highlight the significant burden of Streptococcus suis meningitis in Bali.
- Increased awareness and health promotion are necessary to mitigate the risk of S. suis infection.
