Streptococcus suis Infection as a Cause of Severe Illness: 2 Cases from Croatia

Kopić, Jasminka; Paradžik, Maja Tomić; Pandak, Nenad

doi:10.1080/00365540210147769

Cited by 34 publications

(37 citation statements)

References 16 publications

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“…In humans, S. suis infection has been associated with bacterial meningitis, septic shock, arthritis, pneumonia, endocarditis, endophthalmitis, and spontaneous bacterial peritonitis (2,3). Most at risk are those who handle or eat undercooked pork, e.g., farm workers, butchers, and slaughterhouse workers (4).…”

Section: Streptococcus Suis Meningitis United Statesmentioning

confidence: 99%

“…To the Editor: Parvoviruses (PARV) 4 and 5 are 2 genotypes of a novel human parvovirus, with 92% nucleotide identity, identifi ed in the plasma sample of a patient screened for acute HIV infection and in samples of manufactured plasma pools (1,2). Recently, PARV4 and PARV5 were identifi ed in blood samples from 3 of 26 cadavers from the United Kingdom, all of whom were positive for hepatitis C virus RNA and had a history of intravenous drug use (3).…”

Section: Parvoviruses In Blood Donors and Transplant Patients Italymentioning

confidence: 99%

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Streptococcus suisMeningitis, United States

Lee

Chiu

Haller

et al. 2008

Emerg. Infect. Dis.

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Section: Streptococcus Suis Meningitis United Statesmentioning

confidence: 99%

Section: Parvoviruses In Blood Donors and Transplant Patients Italymentioning

confidence: 99%

Streptococcus suisMeningitis, United States

Lee

Chiu

Haller

et al. 2008

Emerg. Infect. Dis.

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“…Human S. suis infections have been described including multiorgan failure, deafness, purulent meningitis, subacute meningitis, spodylodiscitis and septicaemia. All of this cases were associated with exposure to pigs [37][38][39][40].…”

Section: Streptococcus Suismentioning

confidence: 99%

Non-Foodborne Swine Zoonotic Diseases

Angjelovski

Dovenski

2013

Maced J Med Sci

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The aim of this paper is to give an overview of novel swine non-foodborne zoonotic diseases that have been prominent in the last decade in swine industry. The number of swine present worldwide and the large percentage of population that consume pork, swine represent significant reservoir of potential zoonoses. Numerous of human cases of swine non-foodborne zoonoses were reported all over the world. Although much progress is made to control swine non-foodborne zoonoses, we must remain vigilant to identified and control novel swine emerging zoonoses.

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“…We believe that asplenia made this patient especially susceptible to infection with a nonencapsulated strain of S. suis. Splenectomy has been reported as a potential risk factor for fulminant S. suis infection (38). Seven cases of S. suis infection in asplenic patients with three deaths have been reported (11,(38)(39)(40)(41).…”

mentioning

confidence: 99%

“…Splenectomy has been reported as a potential risk factor for fulminant S. suis infection (38). Seven cases of S. suis infection in asplenic patients with three deaths have been reported (11,(38)(39)(40)(41). This is the first case of S. suis STSLS and arthroplasty infection due to serotype 5 in the United States.…”

mentioning

confidence: 99%

Streptococcus suis-Related Prosthetic Joint Infection and Streptococcal Toxic Shock-Like Syndrome in a Pig Farmer in the United States

et al. 2014

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e Streptococcus suis is an emerging swine-associated zoonotic agent that can cause meningitis and septicemia in humans. We present, to our knowledge, the first case of S. suis arthroplasty infection and streptococcal toxic shock-like syndrome due to an nonencapsulated serotype 5 strain in North America. CASE REPORTA 74-year-old man with a history of non-Hodgkin's lymphoma, in remission, and splenectomy was transferred to our institution for management of septic shock. The patient was a pig farmer who had undergone right total hip arthroplasty (THA) in 1993 and left THA in 1996, both for osteoarthritis. In January 2010, he had undergone a revision left hip arthroplasty for polyethylene wear.He was well until February 2011, when he developed acute severe left hip pain while working on his farm. Other symptoms included a few days of nausea, vomiting, and diarrhea. A syncopal episode prompted evaluation at a local hospital, where he was found to be febrile (39.4°C), tachypneic (24 breaths/min), and hypotensive (89/45 mm Hg). He received 6 liters of fluids and norepinephrine and was transferred to our institution, where he was hypotensive, with metabolic acidosis (lactate concentration of 6.7 mmol/liter), acute renal failure, leukopenia (white blood cell [WBC] count of 1.4 ϫ10 9 /liter), and disseminated intravascular coagulopathy. He had a diffuse erythematous rash on his chest, back, and neck, and severe pain was elicited with movement of the left hip.Due to severe respiratory and metabolic acidosis, he was placed on mechanical ventilation. Intravenous vancomycin and meropenem were empirically started. A radiograph of the hip showed a left trochanteric fracture with cerclage and lucency of the acetabular component (Fig. 1). An ultrasoundguided arthrocentesis of the left hip was attempted, but no fluid was obtained. Five milliliters of sterile normal saline was injected, and 0.5 ml was withdrawn for culture only. Blood and aspirated saline submitted to the Clinical Microbiology Laboratory, Mayo Clinic, Rochester, MN, grew alpha-hemolytic Gram-positive cocci in pairs that formed mucoid colonies (Fig. 2) that were catalase negative, optochin resistant, and bile insoluble. The isolate was identified as Streptococcus suis by partial 16S rRNA gene sequencing. It was susceptible to penicillin (MIC, Յ0.06 g/ml), ceftriaxone (MIC, Յ0.5 g/ml), and vancomycin (MIC, Յ1.0 g/ml) and resistant to erythromycin (MIC, Ͼ0.5 g/ml) (as there are currently no breakpoints for S. suis by the Clinical and Laboratory Standards Institute guidelines, breakpoints for viridans group streptococci were used). On hospital day 3, irrigation and debridement with polyethylene liner exchange were performed on the left hip. Intraoperative frozen sections showed chronic inflammation; periprosthetic tissue cultures were negative. Cerebrospinal fluid showed 26 mg/dl of protein, 73 mg/dl of glucose (serum glucose, 109 mg/dl), 1 leukocyte/l (76% lymphocytes), and negative bacterial culture. A transesophageal echocardiogram was negative for heart valve vege...

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Streptococcus suis Infection as a Cause of Severe Illness: 2 Cases from Croatia

Cited by 34 publications

References 16 publications

Streptococcus suisMeningitis, United States

Streptococcus suisMeningitis, United States

Non-Foodborne Swine Zoonotic Diseases

Streptococcus suis-Related Prosthetic Joint Infection and Streptococcal Toxic Shock-Like Syndrome in a Pig Farmer in the United States

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