Wongjittraporn Suwarat, Teerasukjinda Ornusa, Yee Melvin, Chung Heath H
John A. Burns School of Medicine, Univeristy of Hawai'i, Honolulu, HI.
Hawaii J Med Public Health. 2014 Sep;73(9 Suppl 1):13-4.
Streptococcus suis meningoencephalitis is a rare but increasingly important condition. Good history taking will give clues to the diagnosis. This is the fourth case report in the United States.
A 52-year-old Filipino man who recently returned from a trip to the Philippines was admitted with classic symptoms of bacterial meningitis. His cerebrospinal fluid culture grew Streptococcus suis. His clinical course was complicated by seizures, hearing loss, and permanent tinnitus.
Clinicians should be aware of this emerging disease especially in patients with recent travel history to endemic areas. Early recognition and appropriate management could potentially prevent complications.
猪链球菌性脑膜脑炎是一种罕见但日益重要的病症。详细的病史采集可为诊断提供线索。这是美国的第四例病例报告。
一名52岁的菲律宾男子近期从菲律宾旅行归来，因细菌性脑膜炎的典型症状入院。他的脑脊液培养出猪链球菌。他的临床病程因癫痫发作、听力丧失和永久性耳鸣而复杂化。
临床医生应尤其关注这种新发疾病，特别是对于近期有疫区旅行史的患者。早期识别和适当的管理有可能预防并发症。
