Case report: One human Streptococcus suis infection in Shandong Province, China

Medicine (Baltimore). 2023 Apr 7;102(14):e33491. doi: 10.1097/MD.0000000000033491.

Abstract

Background: Streptococcus suis is an emerging zoonotic pathogen. Human infections with S suis have been identified in Europe, North America, South America, Oceania, Africa and Asia. As the most common clinical symptom of human S suis, meningitis develops in 50% to 60% of infected patients, and approximately 60% of the patients with meningitis symptoms have neurologic sequelae. The cost of infection with S suis imposes a tremendous burden on patients' families.

Case presentation: A 56-year-old woman was infected with S suis. The patient reared pigs in her backyard. At admission, her blood examination showed a leukocyte count of 27.28 × 109/L with 94.20% neutrophils. Cerebrospinal fluid was cloudy with a leukocyte count of 2700 × 106/L. Cerebrospinal fluid cultures revealed gram-positive cocci identified as S suis type II. Ceftriaxone was then administered.

Conclusion: Human infections with S suis highlights the need for health education, prevention and surveillance it.

Publication types

  • Case Reports

MeSH terms

  • Animals
  • Ceftriaxone / therapeutic use
  • China
  • Humans
  • Meningitis*
  • Meningitis, Bacterial* / diagnosis
  • Meningitis, Bacterial* / drug therapy
  • Middle Aged
  • Streptococcal Infections* / complications
  • Streptococcal Infections* / diagnosis
  • Streptococcal Infections* / drug therapy
  • Streptococcus suis*
  • Swine

Substances

  • Ceftriaxone