Streptococcus suis meningitis in Thailand.
Streptococcus suis may be the second most common cause of adult streptococcal meningitis. The clinical and epidemiological data of S. suis meningitis are occasionally reviewed. To date, there have been only two large case series from Hong Kong and the Netherlands. We describe twelve cases of S. suis meningitis who were admitted to Chulalongkorn University Hospital, Bangkok, during a 6-year period between 1997 and 2002. A comparative review of case reports of S. suis meningitis in Thailand, Hong Kong, and the Netherlands is presented and revealed no significant differences between the three series. However, the cases from Thailand and Hong Kong had a significantly greater number of associated skin and soft tissue infections. Clinically, S. suis meningitis may appear acute or with a more chronic course.
Suankratay
Chusana
C
Division of Infectious Diseases, Department of Medicine, Faculty of Medicine, Chulalongkom, Thailand. schusana@hotmail.com
Intalapaporn
Poj
P
Nunthapisud
Pongpun
P
Arunyingmongkol
Kesinee
K
Wilde
Henry
H
D000328:Adult; D000368:Aged; D000818:Animals; D005260:Female; D006801:Humans; D008297:Male; D008826:Microbial Sensitivity Tests; D008875:Middle Aged; D012703:Serotyping; D013290:Streptococcal Infections / Q000209:etiology / Q000503:physiopathology* / Q000635:transmission; D017011:Streptococcus suis / Q000145:classification / Q000187:drug effects / Q000302:isolation & purification*; D013552:Swine; D013785:Thailand / Q000453:epidemiology