Abstract

Very few Streptococcus suis infections in humans have been reported in Canada, although the condition is frequent in pigs. Meningitis, often accompanied by severe hearing loss, is the most common clinical manifestation. The disease is an occupational illness affecting persons in contact with pigs and may be underdiagnosed because of misidentification of the responsible bacterium. Since Quebec is the leading province for swine production in Canada, physicians and microbiologists should be aware of this infection, especially when a streptococcal meningitis is diagnosed in swine workers. The first case of S suis type 2 meningitis reported in Quebec is described.

Highlights

  • CASE REPORTLe Québec vient en tête des provinces productrices de porc au Canada et pour cette raison, les médecins et microbiologistes doivent être à l’affût de cette infection, particulièrement lorsqu’une méningite à streptocoque est diagnostiquée chez un malade travaillant dans l’industrie du porc

  • Most clinicians and microbiologists are unfamiliar with this rare zoonosis in humans

  • The disease is characterized by meningitis and/or septicemia, often accompanied by a partial or total deafness of perceptive type

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Summary

CASE REPORT

Le Québec vient en tête des provinces productrices de porc au Canada et pour cette raison, les médecins et microbiologistes doivent être à l’affût de cette infection, particulièrement lorsqu’une méningite à streptocoque est diagnostiquée chez un malade travaillant dans l’industrie du porc. Nous décrivons ici he premier cas de ménigite à S. suis de type 2 rapporté au Québec. CASE PRESENTATION A 52-year-old female pig farmer with no past medical history developed a febrile illness on April 15, 1994, with chills, generalized muscle pain and headache Five days later she presented with rigor, vomiting and severe headache, with photophobia and sonophobia. Audiometric tests demonstrated mild left neurosensorial hypoacousia of cochlear type, which improved partially during treatment and resolved completely after six months

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