title: Postmortem diagnosis of sudden unexpected death from Streptococcus suis type 2 infection: a case report.
abstract: Streptococcus suis causes meningitis, septicemia, arthritis, endocarditis and death in both pigs and humans. Sudden death is rarely documented in the forensic field and almost all cases were diagnosed pre-mortem. Here we report a 49-year-old man who died from S. suis type 2 infection. S. suis was identified as the causative pathogen using bacterial culture, standard biochemical and coagglutination tests, specific DNA amplification by polymerase chain reaction, and histopathologic examination. We discuss the postmortem investigation of a suspected S. suis infection.
authors.affiliation: Department of Emergency Medicine and Forensic Medicine, Maharaj Nakhonratsima Hospital, Thailand. trapezius60@yahoo.com
authors.forename: Boonsak
authors.initials: B
authors.lastname: Hanterdsith
authors.forename: Prasit
authors.initials: P
authors.lastname: Tharavichitkul
authors.forename: Pongsak
authors.initials: P
authors.lastname: Mahanupab
authors.forename: Wannisa
authors.initials: W
authors.lastname: Raksamat
mesh_terms: D000818:Animals; D003645:Death, Sudden / Q000209:etiology*; D049429:Forensic Pathology; D006801:Humans; D007668:Kidney / Q000473:pathology; D008297:Male; D008461:Meat Products / Q000009:adverse effects / Q000382:microbiology; D008875:Middle Aged; D016133:Polymerase Chain Reaction; D011693:Purpura / Q000473:pathology; D012336:RNA, Ribosomal, 16S / Q000235:genetics; D013290:Streptococcal Infections / Q000175:diagnosis*; D017011:Streptococcus suis / Q000235:genetics / Q000302:isolation & purification*; D013552:Swine
chemical_list: D012336:RNA, Ribosomal, 16S