Streptococcus suis meningitis in pig farmers: report of first two cases in Chile

Koch E.; Fuentes, G; Carvajal R.; Palma R.; Aguirre V.; Cruz, C; Henríquez R.; Calvo M.

Abstract

Human infection by Streptococcus suis is a zoonosis with a known occupational risk. Meningitis is its most frequent clinical manifestation. We present the first two cases in Chile. First case: 54-year-old female patient, pig-farmer. She presented headache, vomiting, confusion and meningismus. She presented septic shock. Second case: 48-year-old male patient, also pig farmer, presented headache, vomiting and meningismus. A Gram's staining of cerebrospinal fluid (CSF) showed gram-positive cocci in both cases. Ceftriaxone and dexamethasone treatment was administered. The CSF cultures were positive for Streptococcus suis serotype 2. The patients experienced a good outcome, without neurological sequelae at the time of discharge. It is considerable to evaluate epidemiologic factors in order to suspect this etiological agent in cases of meningitis. These cases enhance the need of heighten awareness of potential for occupational exposure and infection by this emerging human pathogen. Educating population at risk about simple preventive measures must be considered.

Más información

Título según WOS: Streptococcus suis meningitis in pig farmers: report of first two cases in Chile
Título de la Revista: REVISTA CHILENA DE INFECTOLOGIA
Volumen: 30
Número: 5
Editorial: Sociedad Chilena de Infectología
Fecha de publicación: 2013
Página de inicio: 557
Página final: 561
Idioma: Spanish
Notas: ISI