Acute multiple brain infarctions associated with Streptococcus suis infection: a case report

BMC Infect Dis. 2024 Apr 26;24(1):447. doi: 10.1186/s12879-024-09318-9.

Abstract

Streptococcus suis is one of the most common zoonotic pathogens, in humans and can cause meningitis, endocarditis, arthritis and sepsis. Human cases of Streptococcus suis infection have been reported worldwide, and most of those cases occurred in Asia. Hearing loss is the most common sequela of Streptococcus suis meningitis. Streptococcus suis infection complicated with acute cerebral infarction has rarely been reported. Therefore, to provide a reference for this disease, we reported a case of acute multiple brain infarctions associated with Streptococcus suis infection. In our report, a 69yearold male patient had Streptococcus suis meningitis and sepsis, which were associated with multiple acute cerebral infarctions in the pons and bilateral frontotemporal parietal occipital lobes. After treatment, the patient exhibited cognitive impairment, dyspraxia and irritability. There are limited case reports of cerebral infarction associated with Streptococcus suis infection, and further research is needed to determine the best treatment method.

Keywords: Cerebral infarction; Cognitive impairment; Meningitis; Sepsis; Streptococcus suis.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Anti-Bacterial Agents / therapeutic use
  • Brain Infarction* / complications
  • Brain Infarction* / diagnostic imaging
  • Brain Infarction* / microbiology
  • Humans
  • Male
  • Meningitis, Bacterial / complications
  • Meningitis, Bacterial / drug therapy
  • Meningitis, Bacterial / microbiology
  • Sepsis / complications
  • Sepsis / microbiology
  • Streptococcal Infections* / complications
  • Streptococcal Infections* / microbiology
  • Streptococcus suis* / isolation & purification

Substances

  • Anti-Bacterial Agents