Geffner Sclarsky D E, Moreno Muñoz R, Campillo Alpera M S, Pardo Serrano F J, Gómez Gómez A, Martínez-Lozano M D
Servicio de Neurología, Hospital General de Castellón, AvdA. Benicásim s/n. 12004 Castellón.
An Med Interna. 2001 Jun;18(6):317-8.
Human infection by Streptococcus suis (S. suis) is a zoonosis, with a known occupational risk and clinical presentation mainly as a purulent meningitis with low mortality and frequent hearing loss and ataxia sequela. Less than 150 human cases have been reported since original one thirty years ago. There is a geographical distribution most patients living in northern Europe and south Asia. S. suis disease in human has been reported in two patients in Spain the last years. We present two patients with S. suis meningitis, both were men with occupation related by pork meet, and good outcome. They come at our hospital in a lapse of one month. Both had neurosensorial hearing loss and walking ataxia. One patient had peripheral facial paralysis and diplopia because of paresia of contralateral sixth nerve, with complete resolution at three months. The rare presentation of S. suis meningitis in our country must not forget us to record the working risk at anamnesis.
猪链球菌感染人类是一种人畜共患病，存在已知的职业风险，临床表现主要为化脓性脑膜炎，死亡率低，常伴有听力丧失和共济失调后遗症。自30年前首次报告以来，报告的人类病例不到150例。其具有地理分布特点，大多数患者生活在北欧和南亚。近年来西班牙报告了2例人类感染猪链球菌病例。我们报告2例猪链球菌脑膜炎患者，均为男性，职业与猪肉接触有关，预后良好。他们在一个月内先后入住我院。两人均有神经性听力丧失和行走共济失调。一名患者因对侧第六神经麻痹出现周围性面瘫和复视，3个月时完全恢复。我国猪链球菌脑膜炎的罕见表现提醒我们在问诊时不要忘记记录工作风险。
