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CASE REPORT
Endophthalmitis with bilateral deafness from disseminated Streptococcus suis infection
  1. Ajaree Rayanakorn1,
  2. Wasan Katip2,
  3. Learn Han Lee1,3 and
  4. Peninnah Oberdorfer4
  1. 1 Novel Bacteria and Drug Discovery Research Group, Microbiome and Bioresource Research Strength, Jeffrey Cheah School of Medicine and Health Sciences, Monash University—Malaysia Campus, Bandar Sunway, Malaysia
  2. 2 Department of Pharmaceutical Care, Chiang Mai University, Chiang Mai, Thailand
  3. 3 The Institute of Pharmaceutical Sciences, Lahore, Pakistan
  4. 4 Department of Pediatrics, Faculty of Medicine, Chiang Mai University, Mueang, Chiang Mai, Thailand
  1. Correspondence to Dr Peninnah Oberdorfer, oberdorferp{at}gmail.com

Abstract

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.

  • meningitis
  • tropical medicine (infectious disease)
  • drugs: infectious diseases
  • public health
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Footnotes

  • Contributors AR performed conception, designed the work, wrote the first draft of the manuscript and revisions with support from WK and PO. PO guided the interpretation of the clinical data and content. LHL, WK and PO critically reviewed the manuscript for intellectual content. All authors met the ICMJE criteria for authorship and approved the final version of the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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