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  1. Fulltext Case report: two human Streptococcus suis infections in Borneo, Sabah, Malaysia
    Rajahram GS, Hameed AA, Menon J, William T, Tambyah PA, Yeo TW
    BMC Infect Dis, 2017 03 04;17(1):188.
    PMID: 28257622 DOI: 10.1186/s12879-017-2294-z
    BACKGROUND: Streptococcus Suis (S.suis) is increasingly being recognised as a potentially preventable emerging zoonotic infection in humans with a global distribution. It is a major cause of meningitis especially among those in contact with pigs and has also been associated with a toxic shock syndrome.

    CASE PRESENTATIONS: We report the first two human cases from Sabah, Borneo, Malaysia which expands the global reach of this important pathogen. Here, we illustrate their epidemiological risk factors, clinical presentation and resulting sequelae of both patients.

    CONCLUSION: The continued public health threat of zoonotic infections such as S.suis, highlights the need for accurate epidemiological surveillance, regulation of pig farming, slaughtering and continued advocacy of best practices for pork preparation and consumption.

    Matched MeSH terms: Streptococcus suis/isolation & purification*
  2. Fulltext Endophthalmitis with bilateral deafness from disseminated Streptococcus suis infection
    Rayanakorn A, Katip W, Lee LH, Oberdorfer P
    BMJ Case Rep, 2019 Feb 26;12(2).
    PMID: 30814105 DOI: 10.1136/bcr-2018-228501
    Streptococcus suis is a Gram-positive cocci bacterium that are found mainly in pigs and can be transmitted to human through pigs or pork exposure. The disease is mainly found among occupations involving swine contact in western countries whereas in Asia the disease is usually contracted through raw pork consumption. In this case report, we present a case of a middle-aged Thai man who acquired the infection from raw pork consumption. He presented with endogenous endophthalmitis with infective spondylodiscitis, sepsis and meningitis and later developed blindness of the right eye and permanent bilateral hearing loss disseminated from S. suis infection. Our report suggests that S. suis infection be considered as a causative factor in patient presenting with established clinical symptoms and predisposing factors. Cultural habit of eating raw pork should be taken into account especially in Asian countries.
    Matched MeSH terms: Streptococcus suis/isolation & purification*
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