Streptococcus suis Toxic-shock Syndrome and Meningitis
AMORN LEELARASAMEE, M.D., F.R.C.P.T.*, SURAPEE TIEN-GRIM,M.Sc.*, CHURAIRATANA NILAKUL, M.Sc.**, SOMPORN SRIFUENGFUNG, Ph.D.***, WATTANACHAI SUSAENGRAT,M.D.****
Affiliation : * Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Siriraj Hospital, ** Department of Clinical Microbiology, Faculty of Medical Technology, *** Department of Microbiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, **** Khon Kaen Hospital, Khon Kaen 40000, Thailand.
Abstract Three cases with S. suis bacteremia and meningitis were reported. The first case was a 23- year-old butcher who was a regular drinker of alcohol for two years and developed streptococcal toxic-shock syndrome. The organism was transmitted to him through a minor cut in his right arm. The second cases was a 49-year-old female laborer who had been consuming locally produced alcohol for 20 years and developed fever and meningitis. Unfortunately, she succumbed in seven days despite intensive supportive and cefotaxime treatments. The third case was a 45-year-old regular alcoholic drinker and car painter who was seen at a private hospital due to contusion at his left lateral chest wall. However, fever and confusion due to meningitis was detected upon admis- sion. Irreversible deafness developed within 48 hours of ceftriaxone therapy for meningitis. He finally recovered with deafness. S. suis was isolated from blood and cerebrospinal fluid cultures in all three cases though initially reported to be viridans group of streptococci.
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