{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,19]],"date-time":"2026-05-19T18:23:21Z","timestamp":1779215001207,"version":"3.51.4"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"8","license":[{"start":{"date-parts":[[2017,3,8]],"date-time":"2017-03-08T00:00:00Z","timestamp":1488931200000},"content-version":"unspecified","delay-in-days":2776,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2009,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215109004939_sec1\"><jats:title>Objectives:<\/jats:title><jats:p>To describe a series of 40 culture-proven, <jats:italic>Streptococcus suis<\/jats:italic> infected patients, focusing on route of entry and on hearing and vestibular dysfunction.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109004939_sec2\"><jats:title>Methods:<\/jats:title><jats:p>Retrospective study of patient records in a tertiary care hospital in northern Thailand, 2003\u20132007.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109004939_sec3\"><jats:title>Results:<\/jats:title><jats:p>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.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215109004939_sec4\"><jats:title>Conclusions:<\/jats:title><jats:p>Permanent hearing loss and vestibular impairment occur frequently in persons surviving meningitis caused by <jats:italic>Streptococcus suis<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215109004939","type":"journal-article","created":{"date-parts":[[2009,3,11]],"date-time":"2009-03-11T11:14:45Z","timestamp":1236770085000},"page":"857-862","source":"Crossref","is-referenced-by-count":38,"title":["Hearing and vestibular loss in <i>Streptococcus suis<\/i> infection from swine and traditional raw pork exposure in northern Thailand"],"prefix":"10.1017","volume":"123","author":[{"given":"N","family":"Navacharoen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V","family":"Chantharochavong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C","family":"Hanprasertpong","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J","family":"Kangsanarak","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Lekagul","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2017,3,8]]},"reference":[{"key":"S0022215109004939_ref22","first-page":"1274","article-title":"Streptococcus suis peritonitis: case report","volume":"83","author":"Vilaichone","year":"2000","journal-title":"J Med Assoc Thai"},{"key":"S0022215109004939_ref16","first-page":"93","article-title":"Deafness after \u03b2-streptococcus not group A, B, D meningitis","volume":"9","author":"Sonsuwan","year":"1994","journal-title":"Otolaryngol Head Neck Surg"},{"key":"S0022215109004939_ref14","first-page":"120","article-title":"Meningitis caused by Streptococcus suis","volume":"3","author":"Phuapradit","year":"1987","journal-title":"Intern Med"},{"key":"S0022215109004939_ref15","first-page":"203","article-title":"Streptococcus suis meningitis at Ramathibodi hospital","volume":"16","author":"Pootong","year":"1993","journal-title":"Ramathibodi Medical Journal"},{"key":"S0022215109004939_ref7","first-page":"154","article-title":"Streptococcus suis infection: clinical features and diagnostic pitfalls","volume":"34","author":"Donsakul","year":"2003","journal-title":"Southeast Asian J Trop Med Public Health"},{"key":"S0022215109004939_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(07)70001-4"},{"key":"S0022215109004939_ref10","first-page":"208","article-title":"Streptococcus suis infection an important underdiagnosed disease in Lamphun, Northern Thailand","volume":"27","author":"Fongcom","year":"2002","journal-title":"Bull Dept Med Serv"},{"key":"S0022215109004939_ref29","first-page":"375","article-title":"A human temporal bone study of acute bacterial meningogenic labyrinthitis","volume":"17","author":"Merchant","year":"1996","journal-title":"Am J Otol"},{"key":"S0022215109004939_ref30","first-page":"3040","volume-title":"Otolaryngology: Head and Neck Surgery","volume":"4","author":"Davis","year":"2005"},{"key":"S0022215109004939_ref28","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2990.1991.tb00751.x"},{"key":"S0022215109004939_ref19","first-page":"45","article-title":"Streptococcus meningitis: a case report","volume":"51","author":"Pumprueng","year":"1999","journal-title":"Siriraj Hosp Gaz"},{"key":"S0022215109004939_ref12","first-page":"65","article-title":"Clinical nystagmography. 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