Streptococcus suis spondylodiscitis: 2 new cases and a literature review.

Autor: Romay-Lema EM; Unidad de Enfermedades Infecciosas, Hospital Universitario Lucus Augusti, Lugo, España. Electronic address: eva.maria.romay.lema@gmail.com., Ventura-Valcárcel P; Servicio de Medicina Interna, Hospital Universitario Lucus Augusti, Lugo, España., Iñiguez-Vázquez I; Servicio de Medicina Interna, Hospital Universitario Lucus Augusti, Lugo, España., García-Pais MJ; Unidad de Enfermedades Infecciosas, Hospital Universitario Lucus Augusti, Lugo, España., García-Garrote F; Servicio de Microbiología, Hospital Universitario Lucus Augusti, Lugo, España., Rabuñal-Rey R; Unidad de Enfermedades Infecciosas, Hospital Universitario Lucus Augusti, Lugo, España., Alonso MP; Servicio de Microbiología, Hospital Universitario Lucus Augusti, Lugo, España., Corredoira-Sánchez J; Unidad de Enfermedades Infecciosas, Hospital Universitario Lucus Augusti, Lugo, España.
Jazyk: English; Spanish; Castilian
Zdroj: Enfermedades infecciosas y microbiologia clinica (English ed.) [Enferm Infecc Microbiol Clin (Engl Ed)] 2020 Oct 14. Date of Electronic Publication: 2020 Oct 14.
DOI: 10.1016/j.eimc.2020.08.005
Abstrakt: Introduction: Streptococcus suis (S. suis) infection is poorly described zoonosis in our country, which is related with exposure to pigs or their meat. The most common clinical presentation is meningitis, while spinés involvement is rare.
Methods: We report 2 cases of S. suis infection and perform a systematic review of the articles published on S. suis spondylodiscitis between January 1994 and May 2020 with the aim of defining the clinical characteristics, predisposing factors and evolution.
Results: 17 cases are described, 76.5% males with a mean age of 57.6 years, generally without associated underlying disease. Enolism was a factor present in 17.6%. 70.6% had exposure to pigs or their meat and 20% hand injuries. The mean duration of symptoms was 10.2 days and the most affected segment was the lumbar level. 70.6% had meningitis. All were treated with beta-lactams with an average duration of 53.2 days. There was a recurrence and none died.
Conclusion: There are few cases of S. suis spondylodiscitis in the literature. When occurs, it is associated with another type of infection in most cases. They present a good response to medical treatment and a good prognosis.
(Copyright © 2020 Sociedad Española de Enfermedades Infecciosas y Microbiología Clínica. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE
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