Meningitis and Spondylodiscitis Due to Streptococcus suis

Invasive infection caused by Streptococcus suis, is an emerging zoonotic disease resulting in significant morbidity and mortality among general population in Thailand. We reported a case of an elderly Thai man who presented with two-week onset of subacute fever and neck pain. The patient developed alteration of consciousness one day prior to admission. He was subsequently diagnosed with meningitis and spondylodiscitis, a less common presentation of S. suis infection The organism was fully sensitive to penicillin. He recovered completely without hearing loss or focal neurological deficit following six-week treatment with intravenous ceftriaxone. (J Infect Dis Antimicrob Agents 2010;27:129-33.) Note: This case had been presented and discussed in the Interhospital Case Conference on Infectious Diseases (ICCID), 6 May 2010, Bangkok, Thailand. *Department of Medicine, BMA Medical College and Vajira Hospital, Bangkok, Thailand. **Department of Pathology, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand. ***Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand. Received for publication: August 27, 2010. Reprint request: Lakkana Boonyagars, M.D., Department of Medicine, BMA Medical College and Vajira Hospital, Bangkok, Thailand.