title: [Streptococcus suis meningitis in pig farmers: report of first two cases in Chile].
abstract: Human infection by Streptococcus suis is a zoonosis with a known occupational risk. Meningitis is its most frequent clinical manifestation. We present the first two cases in Chile.
  
  
  METHODS
  54-year-old female patient, pig-farmer. She presented headache, vomiting, confusion and meningismus. She presented septic shock. Second case: 48-year-old male patient, also pig farmer, presented headache, vomiting and meningismus. A Gram's staining of cerebrospinal fluid (CSF) showed gram-positive cocci in both cases. Ceftriaxone and dexamethasone treatment was administered. The CSF cultures were positive for Streptococcus suis serotype 2. The patients experienced a good outcome, without neurological sequelae at the time of discharge. It is considerable to evaluate epidemiologic factors in order to suspect this etiological agent in cases of meningitis. These cases enhance the need of heighten awareness of potential for occupational exposure and infection by this emerging human pathogen. Educating population at risk about simple preventive measures must be considered.
authors.affiliation: Universidad Austral de Chile, Chile.
authors.forename: Erica
authors.initials: E
authors.lastname: Koch
authors.forename: Gino
authors.initials: G
authors.lastname: Fuentes
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Carvajal
authors.forename: Ricardo
authors.initials: R
authors.lastname: Palma
authors.forename: Verónica
authors.initials: V
authors.lastname: Aguirre
authors.forename: Carolina
authors.initials: C
authors.lastname: Cruz
authors.forename: Ruby
authors.initials: R
authors.lastname: Henríquez
authors.forename: Mario
authors.initials: M
authors.lastname: Calvo
mesh_terms: D000208:Acute Disease; D000382:Agricultural Workers' Diseases / Q000175:diagnosis / Q000382:microbiology*; D002677:Chile; D005260:Female; D006801:Humans; D008297:Male; D016920:Meningitis, Bacterial / Q000175:diagnosis / Q000382:microbiology*; D008875:Middle Aged; D013290:Streptococcal Infections / Q000175:diagnosis / Q000382:microbiology*; D017011:Streptococcus suis / Q000302:isolation & purification*