Case Report: Meningitis Streptococcus suis Presented with spondylodiscitis in Bali
DOI:
https://doi.org/10.3889/oamjms.2020.3255Keywords:
Streptococcus suis, spondylodiscitis, meningitis, hearing impairmentAbstract
BACKGROUND: Human infection of Streptococcus suis in Indonesia was increasing in the following years. Many cases presented with meningitis and sepsis, but in the current case, we presented a rare case of meningitis S. suis infection with spondylodiscitis.
CASE REPORT: A 60-year-old man, Balinese, presented with the 3-day onset of fever, headache, and nausea. Three-hour before admission, he became agitated and decreased of consciousness. He had a history of pork consumption 4 days before admission. He was subsequently diagnosed with acute bacterial meningitis and sensorineural hearing impairment. In the next 2 weeks, he developed low back pain, confirmed as spondylodiscitis from magnetic resonance imaging, a less common presentation of S. suis infection. After 4-week intravenous ceftriaxone treatment, he improved significantly with only hearing impairment remaining.
CONCLUSION: Meningitis suis is a systemic infection which can manifest in any organ. The clinician should suspect any low back pain as spondylodiscitis in a patient who had S. suis meningitis.
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Copyright (c) 2020 I Made Oka Adnyana, Ni Made Susilawathi, Anak Agung Ayu Suryapraba Indradewi, Faldi Yaputra, Made Widhi Asih, Ni Nyoman Sri Budayanti, Sri Maliawan (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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