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KMID : 0981820110310030205
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Korean Journal of Laboratory Medicine
2011 Volume.31 No. 3 p.205 ~ p.211
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Streptococcus suis Meningitis with Bilateral Sensorineural Hearing Loss
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Huh Hee-Jae
Park Kyoung-Jin
Jang Ja-Hyun
Lee Mi-Na
Lee Jang-Ho
Ahn Yoon-Hee
Kang Cheol-In
Ki Chang-Seok
Lee Nam-Yong
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Abstract
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Streptococcus suis infection is an emerging zoonosis in Asia. The most common disease manifestation is meningitis, which is often associated with hearing loss and cochleovestibular signs. S. suis infection in humans mainly occurs among risk groups that have frequent exposure to pigs or raw pork. Here, we report a case of S. suis meningitis in a 67-yr-old pig carcass handler, who presented with dizziness and sensorineural hearing loss followed by headaches. Gram-positive diplococci were isolated from cerebrospinal fluid (CSF) and blood cultures and showed gray-white colonies with α-hemolysis. S. suis was identified from CSF and blood cultures by using a Vitek 2 system (bioM?rieux, France), API 20 STREP (bioM?rieux), and performing 16S rRNA and tuf gene sequencing. Even after receiving antibiotic treatment, patients with S. suis infection frequently show complications such as hearing impairment and vestibular dysfunction. To the best of our knowledge, this is the first case of S. suis meningitis in Korea. Prevention through public health surveillance is recommended, especially for individuals who have occupational exposures to swine and raw pork.
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KEYWORD
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Streptococcus suis, Meningitis, Hearing loss, Korea
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