Hostname: page-component-586b7cd67f-vdxz6 Total loading time: 0 Render date: 2024-11-26T06:15:21.808Z Has data issue: false hasContentIssue false
  • English
  • Français

Hearing and vestibular loss in Streptococcus suis infection from swine and traditional raw pork exposure in northern Thailand

Published online by Cambridge University Press:  08 March 2017

N Navacharoen ,
V Chantharochavong ,
C Hanprasertpong ,
J Kangsanarak  and
S Lekagul
N Navacharoen*
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Bangkok, Thailand
V Chantharochavong
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Bangkok, Thailand
C Hanprasertpong
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Bangkok, Thailand
J Kangsanarak
Affiliation:
Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, Bangkok, Thailand
S Lekagul
Affiliation:
Rural Ear Nose and Throat Foundation, Bangkok, Thailand
*
Address for correspondence: Dr Niramon Navacharoen, Department of Otolaryngology, Faculty of Medicine, Chiang Mai University, 110 Intawaroros Street Chiang Mai 50200, Thailand. Fax: 6653 945564 E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives:

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.

Keywords

Hearing LossMeningitisStreptococcus SuisVestibular Impairment
Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 123 , Issue 8 , August 2009 , pp. 857 - 862
Copyright
Copyright © JLO (1984) Limited 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1 Staats, JJ, Feder, I, Okwumabua, O, Chengappa, MM. Streptococcus suis: past and present. Veterinary Research Communications 1997;21:381–407CrossRefGoogle ScholarPubMed
2 Perch, B, Kristjansen, P, Skadhauge, K. Group R streptococci pathogenic for man. Two cases of meningitis and one fatal case of sepsis. Acta Pathol Microbiol Scand 1968;74:69–76CrossRefGoogle Scholar
3 Yu, H, Jing, H, Chen, Z, Zheng, H, Zhu, X, Wang, H et al. Human Streptococcus suis outbreak, Sichuan, China. Emerg Infect Dis 2006;12:914–20CrossRefGoogle ScholarPubMed
4 Lun, ZR, Wang, QP, Chen, XG, Li, AX, Zhu, XQ. Streptococcus suis: an emerging zoonotic pathogen. Lancet Infect Dis 2007;7:201–9CrossRefGoogle Scholar
5 Fongcome, A, Pruksakorn, S, Mongkol, S, Tharavichitkul, P, Yoonim, N. Streptococcus suis infection in Northern Thailand. J Med Assoc Thai 2001;84:1502–8Google Scholar
6 Vilaichone, RK, Vilaichone, W, Nunthapisud, P, Wilde, H. Streptococcus suis infection in Thailand. J Med Assoc Thai 2002;85(suppl.1):S109–17Google ScholarPubMed
7 Donsakul, K, Dejthevaporn, C, Witoonpanich, R. Streptococcus suis infection: clinical features and diagnostic pitfalls. Southeast Asian J Trop Med Public Health 2003;34:154–8Google ScholarPubMed
8 Suankratay, C, Intalapaporn, P, Nunthapisud, P, Arunyingmongkol, K, Wilde, H. Streptococcus suis meningitis in Thailand. Southeast Asian J Trop Med Public Health 2004;35:868–76Google Scholar
9 Wangkaew, S, Chaiwarith, R, Tharavichitkul, P, Supparatpinyo, K. Streptococcus suis infection: a series of 41 cases from Chiang Mai University Hospital. J Infect 2006;52:455–60CrossRefGoogle ScholarPubMed
10 Fongcom, A, Tharavichitkul, P, Pongprasert, R, Punchaburi, B. Streptococcus suis infection an important underdiagnosed disease in Lamphun, Northern Thailand. Bull Dept Med Serv 2002;27:208–13Google Scholar
11 Kileny, PR, Zwolan, TA. Diagnostic and rehabilitative audiology. In: Cummings, CW, Flint, PW, eds. Otolaryngology: Head & Neck Surgery, 4th edn. Philadelphia: Elsevier Mosby, 2005;4:3483–502Google Scholar
12 Jongkees, LB, Maas, JP, Philipszoon, AJ. Clinical nystagmography. A detailed study of electro-nystagmography in 341 patients with vertigo. Pract Otorhinolaryngol (Basel) 1962;24:65–93Google ScholarPubMed
13 Barber, HO, Stockwell, CW. Manual of Electronystagmography, 2nd edn. St Louis: CV Mosby, 1980Google Scholar
14 Phuapradit, P, Boongird, P, Boonyakarnkul, S, Niramarnsakul, S, Ponglikitmongkol, S, Vorachit, M et al. Meningitis caused by Streptococcus suis. Intern Med 1987;3:120–2Google Scholar
15 Pootong, P, Boongird, P, Phuapradit, P. Streptococcus suis meningitis at Ramathibodi hospital. Ramathibodi Medical Journal 1993;16:203–7Google Scholar
16 Sonsuwan, N, Navacharoen, N, Kangsanarak, J, Navacharoen, W. Deafness after β-streptococcus not group A, B, D meningitis. Otolaryngol Head Neck Surg 1994;9:93–100Google Scholar
17 Leelarasamee, A, Nilakul, C, Tien-Grim, S, Srifuengfung, S, Susaengrat, W. Streptococcus suis toxic shock syndrome and meningitis. J Med Assoc Thai 1997;80:63–8Google Scholar
18 Paiboonpol, S. Streptococcus suis meningitis: report of 3 cases. Bulletin of the Department of Medical Services 1998;23:716–19Google Scholar
19 Pumprueng, S, Poungvarin, N. Streptococcus meningitis: a case report. Siriraj Hosp Gaz 1999;51:45–8Google Scholar
20 Avihingsanon, A, Suankratay, C, Tantawichien, T, Nunthapisud, P. Two cases of human endocarditis in Thailand due to Streptococcus suis. Chula Med J 1999;34:317–25Google Scholar
21 Chotmongkol, V, Janma, J, Kawamatawong, T. Streptococcus suis meningitis: report of a case. J Med Assoc Thai 1999;82:922–4Google ScholarPubMed
22 Vilaichone, RK, Mahachai, V, Nunthapisud, P. Streptococcus suis peritonitis: case report. J Med Assoc Thai 2000;83:1274–7Google ScholarPubMed
23 Kay, R, Cheng, AF, Tse, CY. Streptococcus suis infection in Hong Kong. QJM 1995;88:39–47Google Scholar
24 Arends, JP, Zanen, HC, Meningitis caused by Streptococcus suis in humans. Rev Infect Dis 1988;10:131–217CrossRefGoogle Scholar
25 Dupas, D, Vignon, M, Geraut, C. A severe noncompensated occupational disease. J Occup Med 1992;34:1102–5CrossRefGoogle ScholarPubMed
26 Cook, RT. Alcohol abuse, alcoholism, and damage to the immune system – a review. Alcohol Clin Exp Res 1998;22:1927–42Google Scholar
27 Clements, MR, Hamilton, DV, Clifton-Hadley, FA, O'Reilly, JF. Streptococcus suis type II infection: a new industrial disease? Practitioner 1982;226:323–5Google ScholarPubMed
28 Kay, R. The site of the lesion causing hearing loss in bacterial meningitis: a study of experimental streptococcal meningitis in guinea pigs. Neuropathol Appl Neurobiol 1991;17:485–93CrossRefGoogle ScholarPubMed
29 Merchant, SN, Gopen, Q. A human temporal bone study of acute bacterial meningogenic labyrinthitis. Am J Otol 1996;17:375–85Google Scholar
30 Davis, LE. Infections of the labyrinth. In: Cummings, CW, Flint, PW, eds. Otolaryngology: Head & Neck Surgery, 4th edn. Philadelphia: Elsevier Mosby, 2005;4:3040–57Google Scholar
31 van de Beek, D, de Gans, J, McIntyre, P, Prasad, K. Steroids in adults with acute bacterial meningitis: a systematic review. Lancet Infect Dis 2004;4:139–43CrossRefGoogle ScholarPubMed