Bilateral Sensorineural Hearing Loss and Septic Arthritis in Streptococcus suis Meningitis Patient: A Case Report

Abstract

Background/aim: Bacterial meningitis is inflammation of the lining of the brain due to bacterial invasion of the CNS, especially in the cerebrospinal fluid in the subarachnoid and ventricles. Transmission of S. suis to humans occurs through direct contact with pigs and their processed products and consuming raw pork products. This case report reports a case of meningitis S. Suis with symptoms of decreased consciousness, bilateral sensorineural deafness and arthritis. Case: with a gradual loss of consciousness accompanied by headache and fever. The patient works in a pig slaughterhouse, and often consumes processed pork. The patient has decreased consciousness, fever, stiff neck, headache and septic arthritis. The patient found S.Suis type I in the blood, joint fluid culture (+), and CSF culture (+). The patient was treated with ceftriaxone according to CSF sensitivity culture test, dexamethasone and antipyretic/ analgesic as adjuvants. Patient recovered with improved genu arthritis and bilateral sensorineural hearing loss. Conclusion: Transmission of S. suis to humans occurs through direct contact with pork and its raw processed products. Clinical manifestations such as headache, fever, nausea and vomiting accompanied by signs of meningeal stimulation. The most prominent and frequently reported symptom is hearing loss. Definitive diagnosis is highly dependent on clinical examination, CSF culture and blood culture. Antibiotic therapy for 14 days, corticosteroids are the treatment of choice in bacterial meningitis. A frequently reported complication with sensorineural loss. Death is frequently reported in cases with systemic infection. Keywords: Bacterial meningitis, Streptococcus Suis, sensorineural hearing loss, arthritis septic, infected pigs and pork products.