<em>Streptococcus suis</em> meningitis related to processing and consuming raw pork during Balinese tradition, <em>Mebat</em>

IGM Ardika Aryasa; Ni Putu Ayu Widiasari; Ni Made Susilawathi; Ni Nengah Dwi Fatmawati; I Made Oka Adnyana; Anak Agung Raka Sudewi; Ni Made Adi Tarini

doi:10.13181/mji.cr.193249

Authors

IGM Ardika Aryasa Faculty of Medicine, Universitas Udayana, Bali, Indonesia https://orcid.org/0000-0003-0014-439X
Ni Putu Ayu Widiasari Faculty of Medicine, Universitas Udayana, Bali, Indonesia
Ni Made Susilawathi Department of Neurology, Faculty of Medicine, Universitas Udayana/Sanglah General Hospital, Bali, Indonesia
Ni Nengah Dwi Fatmawati Department of Clinical Microbiology, Faculty of Medicine, Universitas Udayana/Sanglah General Hospital, Bali, Indonesia
I Made Oka Adnyana Department of Neurology, Faculty of Medicine, Universitas Udayana/Sanglah General Hospital, Bali, Indonesia
Anak Agung Raka Sudewi Department of Neurology, Faculty of Medicine, Universitas Udayana/Sanglah General Hospital, Bali, Indonesia
Ni Made Adi Tarini Department of Clinical Microbiology, Faculty of Medicine, Universitas Udayana/Sanglah General Hospital, Bali, Indonesia

DOI:

https://doi.org/10.13181/mji.cr.193249

Keywords:

foodborne disease, meningitis, polymerase chain reaction, Streptococcus suis

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Abstract

Streptococcus suis is a zoonotic pathogen that can infect humans, especially meningitis. S. suis meningitis has been commonly diagnosed in Bali, which is associated with the consumption of raw pork. We reported case of S. suis meningitis that could have occurred due to the ingestion of undercooked pork during a traditional ceremony, which also involved two more patients with similar symptoms. A 62-year-old male was brought to the emergency unit because of decreased consciousness (Glasgow coma scale 14/15) in the last 8 hours before admission. He also had a headache, high fever, and stiff neck. Examination of cerebrospinal fluid revealed the presence of S. suis infection and was confirmed by polymerase chain reaction. The patient was administered ceftriaxone and showed a clinical improvement on the third day without any hearing problem.

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