Pig's ear: Streptococcus suis Meningitis and its associated inner ear implications
| Autor: | S. Sena esteves, C. Almeida e sousa, Qadeer Arshad, J. Carvalho de Almeida, José Abrunhosa |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
medicine.medical_specialty Streptococcus suis Nausea 03 medical and health sciences Zoonosis 0302 clinical medicine Internal medicine medicine otorhinolaryngologic diseases Medical history 030212 general & internal medicine Dexamethasone biology Case Study business.industry Vestibular areflexia biology.organism_classification medicine.disease Surgery 030104 developmental biology Infectious Diseases Ceftriaxone Vancomycin medicine.symptom Headaches business Meningitis medicine.drug |
| Zdroj: | IDCases |
| Popis: | Highlights • Streptococcus suis (S. suis) is a zoonotic pathogen commonly found in Asian countries. • This is a particular occupational hazard for butchers and abattoir workers, especially in individuals whom have skin cuts or abrasions. • We present a case of a patient was admitted to our department with headaches, fevers, nausea and bilateral hearing loss. • The patient was referred for right cochlear implant, 7 weeks after the presentation. This implant was not a success. • Patient also responded poorly to vestibular rehabilitation, leaving him with considerable residual functional impairment. Streptococcus suis (S. suis) is a zoonotic pathogen commonly found in Asian countries. Infection with this bacterium typically clinically presents as meningitis and individuals whom handle swine are at increased risk of developing infections. We present a case of a patient with a S. suis meningitis who worked as a butcher. The 48-year-old man was admitted to our department with headaches, fevers, nausea and bilateral hearing loss. According to his medical history, the patient had sustained a cut on his finger while preparing pork meat. A microbiological examination of the cerebrospinal fluid and blood revealed S. suis. The patient was empirically treated with ceftriaxone, vancomycin and dexamethasone. The patient made a complete recovery from the meningitic process and inflammatory markers. However, the hearing and vestibular loss persisted with considerable functional impact upon his daily life. He was elected for a right cochlear implant, 7 weeks after the presentation with a poor outcome. It is important to remember that inner-ear dysfunction can occur frequently in S. suis meningitis surviving patients. Physicians should have a high index of suspicion if risk factors are present and initiate urgent treatment to prevent serious long-term consequences. |
| Databáze: | OpenAIRE |
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