Acute multiple brain infarctions associated with Streptococcus suis infection: a case report
Wenxin Wei1, Zhenhu Qiao1, Donghua Qin1
1Department of Neurology, Minzu Hospital Affiliated of Guangxi Medical University, Nanning, Guangxi, 530001, China.
Abstract:
Streptococcus suis is one of the most common zoonotic pathogens, in humans and can cause meningitis, endocarditis, arthritis and sepsis. Human cases of Streptococcus suis infection have been reported worldwide, and most of those cases occurred in Asia. Hearing loss is the most common sequela of Streptococcus suis meningitis. Streptococcus suis infection complicated with acute cerebral infarction has rarely been reported. Therefore, to provide a reference for this disease, we reported a case of acute multiple brain infarctions associated with Streptococcus suis infection. In our report, a 69yearold male patient had Streptococcus suis meningitis and sepsis, which were associated with multiple acute cerebral infarctions in the pons and bilateral frontotemporal parietal occipital lobes. After treatment, the patient exhibited cognitive impairment, dyspraxia and irritability. There are limited case reports of cerebral infarction associated with Streptococcus suis infection, and further research is needed to determine the best treatment method.
Insights
Streptococcus suis infection can cause serious illness, including meningitis and sepsis. This case highlights a rare complication: acute multiple brain infarctions, emphasizing the need for further research.
Area of Science:
- Infectious Diseases
- Neurology
- Public Health
Background:
- Streptococcus suis is a significant zoonotic pathogen causing meningitis, sepsis, and arthritis in humans.
- Human infections are reported globally, with a high prevalence in Asia.
- Hearing loss is a common sequela of Streptococcus suis meningitis.
Observation:
- A rare case of Streptococcus suis infection complicated by acute cerebral infarction is presented.
- A 69-year-old male patient experienced Streptococcus suis meningitis and sepsis.
- The patient developed multiple acute cerebral infarctions in the pons and bilateral frontotemporal parietal occipital lobes.
Findings:
- The patient presented with cognitive impairment, dyspraxia, and irritability post-treatment.
- This case represents a rare association between Streptococcus suis infection and acute multiple brain infarctions.
- Limited reports exist on cerebral infarction as a complication of Streptococcus suis infection.
Implications:
- This case underscores the potential neurological complications of Streptococcus suis infections.
- Further research is crucial to understand the pathogenesis and optimal treatment strategies for this rare complication.
- Increased awareness among clinicians is necessary for early diagnosis and management of Streptococcus suis-associated cerebral infarction.
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