title: Streptococcus suis meningoencephalitis with seizure from raw pork ingestion: a case report.
abstract: BACKGROUND
  Streptococcus suis meningoencephalitis is a rare but increasingly important condition. Good history taking will give clues to the diagnosis. This is the fourth case report in the United States.
  
  
  METHODS
  A 52-year-old Filipino man who recently returned from a trip to the Philippines was admitted with classic symptoms of bacterial meningitis. His cerebrospinal fluid culture grew Streptococcus suis. His clinical course was complicated by seizures, hearing loss, and permanent tinnitus.
  
  
  CONCLUSIONS
  Clinicians should be aware of this emerging disease especially in patients with recent travel history to endemic areas. Early recognition and appropriate management could potentially prevent complications.
authors.affiliation: John A. Burns School of Medicine, Univeristy of Hawai'i, Honolulu, HI.
authors.forename: Suwarat
authors.initials: S
authors.lastname: Wongjittraporn
authors.affiliation: John A. Burns School of Medicine, Univeristy of Hawai'i, Honolulu, HI.
authors.forename: Ornusa
authors.initials: O
authors.lastname: Teerasukjinda
authors.affiliation: John A. Burns School of Medicine, Univeristy of Hawai'i, Honolulu, HI.
authors.forename: Melvin
authors.initials: M
authors.lastname: Yee
authors.affiliation: John A. Burns School of Medicine, Univeristy of Hawai'i, Honolulu, HI.
authors.forename: Heath H
authors.initials: HH
authors.lastname: Chung
mesh_terms: D004435:Eating; D006801:Humans; D008297:Male; D008590:Meningoencephalitis / Q000209:etiology*; D008875:Middle Aged; D000069466:Red Meat / Q000382:microbiology*; D012640:Seizures / Q000209:etiology*; D013290:Streptococcal Infections / Q000150:complications*; D017011:Streptococcus suis / Q000472:pathogenicity*
keywords: Case Report; Streptococcus suis meningoencephalitis; hearing loss; seizure; tinitus