Streptococcus Suis Caused Pneumonia: A Case Report

I Made Suardana, Ida Ayu Artini Dewi, I Nengah Artika

Abstract: Introduction: Streptococcus suis bacterial infection is a zoonotic disease that rarely occurs in Indonesia, the cases usually found in the areas that have a consuming raw pork habit. The common manifestation of S. suis infection is meningitis, in some cases there are other manifestations such as endocarditis, pneumonia and arthritis. Pneumonia will increase morbidity and mortality rate in S. suis infection, so appropriate diagnosis and treatment is necessary. Case: A 50-year-old man who has consuming pork habit with complaints of decreased consciousness since 6 hours before hospital admission, with history of fever, headache, and cough since 2 days prior. Chest x ray shows bilateral consolidation, cerebrospinal fluid analysis revealed bacterial infection, with blood culture showed S. suis type II bacterial colonization which is sensitive to several antibiotics such as ceftriaxone, ampicillin and moxifloxacin. The patient regained his consciousness on 5th day of ceftriaxone treatment, but complained bilateral hearing loss. After 14 days of treatment the patient did not show any symptoms of meningitis and pneumonia but still complaint about hearing loss. Conclusion: S. suis can be pathogen that that causes pneumonia, especially in patient that had consuming raw pork habbit. Appropriate diagnosis and treatment needed to decrease the morbidity and mortality rate.

Keywords: Pneumonia, Zoonoses, Streptococcus suis, Meningitis, Blood culture, Antibiotics