{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T20:13:18Z","timestamp":1776283998594,"version":"3.50.1"},"reference-count":36,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T00:00:00Z","timestamp":1715644800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p><jats:italic>Streptococcus suis<\/jats:italic> is one of the porcine pathogens that have recently emerged as a pathogen capable of causing zoonoses in some humans. Patients infected with <jats:italic>S. suis<\/jats:italic> can present with sepsis, meningitis, or arthritis. Compared to common pathogens, such as <jats:italic>Meningococcus<\/jats:italic>, <jats:italic>Streptococcus pneumoniae<\/jats:italic>, and <jats:italic>Haemophilus influenzae<\/jats:italic>, <jats:italic>S. suis<\/jats:italic> infections in humans have been reported only rarely.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This case report described a 57-year-old man who presented with impaired consciousness and fever following several days of backache. He was a butcher who worked in an abattoir and had wounded his hands 2\u2009weeks prior. The patient was dependent on alcohol for almost 40\u2009years. <jats:italic>S. suis<\/jats:italic> was detected in the cerebrospinal fluid by metagenomic next-generation sequencing. Although he received adequate meropenem and low-dose steroid therapy, the patient suffered from bilateral sudden deafness after 5\u2009days of the infection. The final diagnosis was <jats:italic>S. suis<\/jats:italic> meningitis and sepsis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The patient survived with hearing loss in both ears and dizziness at the 60-day follow-up.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>We reported a case of <jats:italic>S. suis<\/jats:italic> infection manifested as purulent meningitis and sepsis. Based on literature published worldwide, human <jats:italic>S. suis<\/jats:italic> meningitis shows an acute onset and rapid progression in the nervous system. Similar to bacterial meningitis, effective antibiotics, and low-dose steroids play important roles in the treatment of human <jats:italic>S. suis<\/jats:italic> meningitis.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpubh.2024.1369703","type":"journal-article","created":{"date-parts":[[2024,5,14]],"date-time":"2024-05-14T04:53:17Z","timestamp":1715662397000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":6,"title":["Streptococcus suis meningitis in China: a case 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