title: [Streptococcus suis meningitis in an immunocompetent patient].
abstract: A case of Streptococcus suis meningitis is described in an immunocompetent patient presenting asthenia, general weakness, fever, vomiting, sensory deterioration and temporospatial disorder. The cerebrospinal fluid and two blood cultures (2/2 bottles) were positive. The isolate was preliminary identified by conventional biochemical tests, and the identification was completed at the Special Bacteriology Service of INEI-ANLIS "Dr. Carlos G. Malbrán". Ampicillin and ceftriaxone treatment was initiated. The isolate was susceptible to ampicillin, cefotaxime and vancomycin. The patient experienced a good outcome but suffered hearing loss. However, after four months he returned with walking ataxia, deafness in his left ear, and hearing loss in the right ear. The patient's retrospective exposure to pigs had been verified. It is important to evaluate predisposing and epidemiologic factors in order to alert about the possible presence of this etiological agent in cases of meningitis or bacteremia.
authors.affiliation: Sección Microbiología, Laboratorio Central, Hospital José M. Cullen, Av. Freyre 2150 (3000) Santa Fe, Pcia. de Santa Fe, Argentina
authors.forename: A
authors.initials: A
authors.lastname: Nagel
authors.forename: V
authors.initials: V
authors.lastname: Manias
authors.forename: N
authors.initials: N
authors.lastname: Busquets
authors.forename: S
authors.initials: S
authors.lastname: Sniadowsky
authors.forename: J
authors.initials: J
authors.lastname: Anzardi
authors.forename: E de Los A
authors.initials: Ede L
authors.lastname: Méndez
mesh_terms: D006801:Humans; D007121:Immunocompetence; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000188:drug therapy; D008875:Middle Aged; D013290:Streptococcal Infections / Q000175:diagnosis / Q000188:drug therapy; D017011:Streptococcus suis