Streptococcus suis (SS) infection has aroused tremendous attention recently. We report a restaurant worker who suffered acute confusion due to SS meningitis. Sporadic cases have been reported in Hong Kong since 1981. Little was known in the past about its characteristic fulminant clinical deterioration. We explored the literature and discuss the epidemiology, pathogenesis, clinical manifestations and management of this disease.
Centre for Health Protection, Department of Health, Hong Kong.Cases of Streptococcus suis infection in Sichuan updated, 3 August 2005. [cited 2005 Aug 3] Available from: http://www.chp.gov.hk
2.
ChauP.Y., HuangC.Y., KayR.Streptococcus suis meningitis. An important underdiagnosed disease in Hong Kong. Med J Aust1983; 1(9): 414–7.
3.
PerchB., KristjansenP., SkadhaugeK.Group R streptococci pathogenic for man. Tw o cases of meningitis and one fatal case of sepsis. Acta Pathol Microbiol Scand1968; 74(1): 69–76.
4.
KayR., ChengA.F., TseC.Y.Streptococcus suis infection in Hong Kong. QJM1995; 88(1): 39–47.
5.
Centre for Health Protection, Department of Health, Hong Kong.A case of Streptococcus suis infection reported locally, 28/07/2005. [cited 2005 Jul 28]. Available from: http://www.chp.gov.hk
6.
ArendsJ.P., ZanenH.C.Meningitis caused by Streptococcus suis in humans. Rev Infect Dis1988; 10(1): 131–7.
7.
TambyahP.A., KumarasingheG., ChanH.L., LeeK.O.Streptococcus suis infection complicated by purpura fulminans and rhabdomyolysis: case report and review. Clin Infect Dis1997; 24(4): 710–2.
8.
HalabyT., HoitsmaE., HuppertsR., SpanjaardL., LuirinkM., JacobsJ.Streptococcus suis meningitis, a poacher's risk. Eur J Clin Microbiol Infect Dis2000; 19(12): 943–5.
9.
DurandF., PerinoC.L., ReculeC., BrionJ.P., KobishM., GuerberF.Bacteriological diagnosis of Streptococcus suis meningitis. Eur J Clin Microbiol Infect Dis2001; 20(7): 519–21.
10.
KopicJ., ParadzikM.T., PandakN.Streptococcus suis infection as a cause of severe illness: 2 cases from Croatia. Scand J Infect Dis2002; 34(9): 683–4.
11.
MazokopakisE.E., KofteridisD.P., PapadakisJ.A., GikasA.H., SamonisG.J.First case report of Streptococcus suis septicaemia and meningitis from Greece. Eur J Neurol2005; 12(6): 487–9.
12.
SuankratayC., IntalapapornP., NunthapisudP., ArunyingmongkolK., WildeH.Streptococcus suis meningitis in Thailand. Southeast Asian J Trop Med Public Health2004; 35(4): 868–76.
13.
VilaichoneR.K., VilaichoneW., NunthapisudP., WildeH.Streptococcus suis infection in Thailand. J Med Assoc Thai2002; 85 Suppl 1: S109–17.
14.
Central Committee on Infectious Diseases, Hospital Authority, Hong Kong.Fact sheet on Streptococcus suis infection.Hong Kong: Infection Control Branch, Centre for Health Protection; July 2005.
15.
GottschalkM., SeguraM.The pathogenesis of the meningitis caused by Streptococcus suis: the unresolved questions. Vet Microbiol2000; 76(3): 259–72.
16.
MadsenL.W., SvensmarkB., ElvestadK., JensenH.E.Otitis interna is a frequent sequela to Streptococcus suis meningitis in pigs. Vet Pathol2001; 38(2): 190–5.
WaldE.R., KaplanS.L., MasonE.O.Jr, SaboD., RossL., ArditiM.Dexamethasone therapy for children with bacterial meningitis. Meningitis Study Group. Pediatrics1995; 95(1): 21–8.
19.
American Academy of Pediatrics. Report of the Committee on Infectious Diseases.Elk Grove Village: American Academy of Pediatrics; 1994.
20.
McIntyreP.B., BerkeyC.S., KingS.M., SchaadU.B., KilpiT., KanraG.Y.Dexamethasone as adjunctive therapy in bacterial meningitis. A meta-analysis of randomized clinical trials since 1988. JAMA1997; 278(11): 925–31.
21.
LazoffM.Meningitis. eMedicine [cited 2005 Jul 31]. Available from: www.emedicine.com.
