[Streptococcus suis bacteremia].
BACKGROUND
Streptococcus suis infection is recognised despite it rareness as a zoonotic occupational disease in humans, and is often associated with meningitis, more rarely with bacteremia.


METHODS
A Streptococcus suis bacteremia occurred in a hunter and was complicated by septic shock with disseminated intravascular coagulation, rhabdomyolysis and purpura fulminans. Contamination had occurred through inoculation of a cut on the thumb when the hunter was slaughtering a wild boar. The blood cultures isolated Streptococcus suis. The patient died 36 hours after admission, despite intensive care and adapted antibiotic treatment with penicillin A and macrolide.


CONCLUSIONS
Streptococcus suis bacteremia are uncommon but serious in humans. Despite adapted treatment, evolution may be fatal, so their conditions of occurrence must be well known by hunters and practitioners.
Pedroli
Séverine
S
Service des urgences et de réanimation, Hôpital de Beauregard, avenue des Monts du soir, Montbrison.
Kobisch
Marylène
M
Beauchet
Olivier
O
Chaussinand
Jean-Paul
JP
Lucht
Frédéric
F
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D016470:Bacteremia / Q000150:complications / Q000188:drug therapy / Q000209:etiology* / Q000401:mortality; D001769:Blood / Q000382:microbiology; D003422:Critical Care; D004211:Disseminated Intravascular Coagulation / Q000209:etiology; D006801:Humans; D018942:Macrolides; D008297:Male; D008875:Middle Aged; D010406:Penicillins / Q000627:therapeutic use; D012206:Rhabdomyolysis / Q000209:etiology; D012772:Shock, Septic / Q000188:drug therapy / Q000209:etiology / Q000401:mortality; D013290:Streptococcal Infections / Q000150:complications / Q000188:drug therapy / Q000209:etiology* / Q000401:mortality; D017011:Streptococcus suis / Q000302:isolation & purification; D013997:Time Factors
D000900:Anti-Bacterial Agents; D018942:Macrolides; D010406:Penicillins
Bactériémie à Streptococcus suis.