title: Hearing and vestibular loss in Streptococcus suis infection from swine and traditional raw pork exposure in northern Thailand.
abstract: OBJECTIVE
  To describe a series of 40 culture-proven, Streptococcus suis infected patients, focusing on route of entry and on hearing and vestibular dysfunction.
  
  
  METHODS
  Retrospective study of patient records in a tertiary care hospital in northern Thailand, 2003-2007.
  
  
  RESULTS
  The majority (75 per cent) of cases were men with heavy drinking habits. A past history of the consumption of raw pork and/or pig's blood was found in 62.5 per cent of cases, whereas contact with swine products was found in 25 per cent. Thirty patients presented with sepsis, 19 with meningitis and 10 with infective endocarditis. The overall mortality rate was 20 per cent. After a mean follow up of 17 months, 73 per cent of the surviving meningitis cases had persistent sensorineural hearing loss and 50 per cent demonstrated vestibular impairment. In one patient, roentgenographic studies of the temporal bone were compatible with labyrinthitis ossificans.
  
  
  CONCLUSIONS
  Permanent hearing loss and vestibular impairment occur frequently in persons surviving meningitis caused by Streptococcus suis.
authors.affiliation: Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand. nnavacha@mail.med.cmu.ac.th
authors.forename: Niramon
authors.initials: N
authors.lastname: Navacharoen
authors.forename: V
authors.initials: V
authors.lastname: Chantharochavong
authors.forename: C
authors.initials: C
authors.lastname: Hanprasertpong
authors.forename: J
authors.initials: J
authors.lastname: Kangsanarak
authors.forename: S
authors.initials: S
authors.lastname: Lekagul
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D005260:Female; D005506:Food Contamination; D034381:Hearing Loss / Q000382:microbiology*; D006801:Humans; D008297:Male; D008460:Meat / Q000382:microbiology; D016920:Meningitis, Bacterial / Q000150:complications* / Q000401:mortality; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D013290:Streptococcal Infections / Q000209:etiology* / Q000401:mortality; D017011:Streptococcus suis / Q000302:isolation & purification*; D034421:Sus scrofa; D013785:Thailand; D015837:Vestibular Diseases / Q000382:microbiology*