{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T13:19:00Z","timestamp":1783430340301,"version":"3.54.6"},"reference-count":24,"publisher":"American Society for Microbiology","issue":"4","license":[{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T00:00:00Z","timestamp":1783382400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.asm.org\/non-commercial-tdm-license"}],"funder":[{"DOI":"10.13039\/501100000038","name":"Natural Sciences and Engineering Research Council of Canada","doi-asserted-by":"publisher","award":["2022-03730"],"award-info":[{"award-number":["2022-03730"]}],"id":[{"id":"10.13039\/501100000038","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000038","name":"Natural Sciences and Engineering Research Council of Canada","doi-asserted-by":"publisher","award":["2022-04223"],"award-info":[{"award-number":["2022-04223"]}],"id":[{"id":"10.13039\/501100000038","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.asm.org"],"crossmark-restriction":true},"short-container-title":["ASM Case Rep"],"published-print":{"date-parts":[[2026,7,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title\/>\n                    <jats:sec>\n                      <jats:title>Background<\/jats:title>\n                      <jats:p>\n                        Human\n                        <jats:italic toggle=\"yes\">Streptococcus suis<\/jats:italic>\n                        infections occur worldwide but are most common in East and Southeast Asia. In Europe, most cases are linked to occupational contact with pigs and are usually caused by serotype 2 sequence type 1 (ST1) and ST20 strains, whereas other serotype 2 genotypes seldom cause human disease on the continent.\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>Case Summary<\/jats:title>\n                      <jats:p>\n                        A 55-year-old male pig farmer from Brittany, France, presented with acute confusion, fever, and nuchal rigidity consistent with meningitis. Cerebrospinal fluid cultures were negative, but blood cultures grew\n                        <jats:italic toggle=\"yes\">S. suis<\/jats:italic>\n                        . Empirical treatment with cefotaxime and dexamethasone was initiated, followed by high-dose amoxicillin once antimicrobial susceptibility results confirmed \u03b2-lactam sensitivity. The patient required 5 days of intensive care and 7 additional days in a general ward and then completed 8 days of home intravenous ceftriaxone, fully recovering without hearing loss, a frequent sequela of\n                        <jats:italic toggle=\"yes\">S. suis<\/jats:italic>\n                        meningitis. The isolate was typed as serotype 2. It belonged to the ST25 lineage and was genetically closely related to North American strains.\n                      <\/jats:p>\n                    <\/jats:sec>\n                    <jats:sec>\n                      <jats:title>Conclusion<\/jats:title>\n                      <jats:p>\n                        This case serves as a reminder that\n                        <jats:italic toggle=\"yes\">S. suis<\/jats:italic>\n                        should be considered in meningitis among swine-exposed individuals and expands the known range of ST25 human infections to Western Europe, providing useful insights for regional surveillance efforts.\n                      <\/jats:p>\n                    <\/jats:sec>\n                  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