Abstract
BackgroundStreptococcus Suis (S.suis) is increasingly being recognised as a potentially preventable emerging zoonotic infection in humans with a global distribution. It is a major cause of meningitis especially among those in contact with pigs and has also been associated with a toxic shock syndrome.Case presentationsWe report the first two human cases from Sabah, Borneo, Malaysia which expands the global reach of this important pathogen. Here, we illustrate their epidemiological risk factors, clinical presentation and resulting sequelae of both patients.ConclusionThe continued public health threat of zoonotic infections such as S.suis, highlights the need for accurate epidemiological surveillance, regulation of pig farming, slaughtering and continued advocacy of best practices for pork preparation and consumption.
Highlights
Streptococcus Suis (S.suis) is increasingly being recognised as a potentially preventable emerging zoonotic infection in humans with a global distribution
We report two cases from Sabah, Borneo, Malaysia
Blood culture on admission and antibiotic susceptibility testing performed by methods described above was positive for Streptococcus suis which was sensitive to penicillin
Summary
Streptococcus suis (S.suis) is a porcine zoonotic infection which is increasingly recognised. Case report The first patient was a 41-year-old previously healthy man who presented with 2 day history of fever, headache, vomiting, neck pain and behavioural change. He reared four pigs at home and had daily contact with them. The second patient was a 44-year-old man, presented with a 2 day history of fever with chills and rigors associated with headache and vomiting On examination he was alert and conscious with no signs of meningism. Blood culture on admission and antibiotic susceptibility testing performed by methods described above was positive for Streptococcus suis which was sensitive to penicillin. He completed two weeks of intravenous penicillin G and made complete recovery on discharge without any residual neurological or otological deficits
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