RESUMO
Streptococcus suis causes meningitis, bacteremia, endocarditis, endophthalmitis, artrithis and toxic shock in both pigs and human beings. The incidence of this pathogen is increasing worldwide. A case of 54 years old men from a rural zone of Tucumán, Argentina with two days of headache, vomit and photophobia was admitted septic, with purulent meningitis. Streptococcus suis was growth from the blood and cerebrospinal fluid culture. The patient was treated with ceftriaxona and had a good evolution without sequels. This is the first case of S. suis described in the northwest of Argentina and the third of Latin America, and it is emphasized that the occupational contact with pigs is an important background for the initial suspect of this pathogen.
Assuntos
Doenças dos Trabalhadores Agrícolas/microbiologia , Meningites Bacterianas/microbiologia , Infecções Estreptocócicas/microbiologia , Streptococcus suis/isolamento & purificação , Doença Aguda , Doenças dos Trabalhadores Agrícolas/diagnóstico , Argentina , Humanos , Masculino , Meningites Bacterianas/diagnóstico , Pessoa de Meia-Idade , Infecções Estreptocócicas/diagnósticoRESUMO
Streptococcus suis causes meningitis, bacteremia, endocarditis, endophthalmitis, artrithis and toxic shock in both pigs and human beings. The incidence of this pathogen is increasing worldwide. A case of 54 years old men from a rural zone of Tucumán, Argentina with two days of headache, vomit and photophobia was admitted septic, with purulent meningitis. Streptococcus suis was growth from the blood and cerebrospinal fluid culture. The patient was treated with ceftriaxona and had a good evolution without sequels. This is the first case of S. suis described in the northwest of Argentina and the third of Latin America, and it is emphasized that the occupational contact with pigs is an important background for the initial suspect of this pathogen.
La infección por Streptococcus suis puede causar meningitis, bacteriemia, endocarditis, endoftalmitis, artritis y shock tóxico, tanto en el ser humano como en cerdos. La incidencia de esta zoonosis está aumentando en el mundo. Se presenta el caso de un varón de 54 años de edad, trabajador rural proveniente de la provincia de Tucumán, Argentina, que consultó por cefalea, vómitos y fotofobia de dos días de evolución, constatándose una sepsis de foco meníngeo. Tanto en el cultivo de líquido cefalorraquídeo como en el hemocultivo se aisló S. suis. Se trató con ceftriaxona con buena evolución y sin secuelas. Es el primer caso de S. suis en el noroeste argentino y el tercero en Latinoamérica. Se resalta la importancia del antecedente de exposición laboral a cerdos para la sospecha inicial de este microorganismo.