Meningitis due to Streptococcus suis in Two Patients with Occupational Exposure from Northeastern Brazil

Table 1

Clinical profile of both patients diagnosed with Streptococcus suis meningitis.

Demographic characteristics				Clinical findings					Treatment
Patient	Age	Exposure	Comorbidities	Fever	Neck stiffness	Brudzinski	Kernig	Lasegue	Antibiotic	Corticosteroids
Case 1	60 y	Butcher (pig slaughterhouse)	COPD/alcoholism	Yes	Yes	Yes	No	No	Ceftriaxone (14 days)	Yes
Case 2	68 y	Farmer (pig farming)	None	Yes	Yes	No	No	No	Piperacillin-tazobactum (7 days); Meropenem (14 days); Polymyxin B (7 days)	Yes
_CSF analysis								Prognosis
Patient	Appearance	Glucose (mg/dL)	Protein (mg/dL)	Gram stain	WCC (cells/mm^3)	Cell differential	Method	Outcome
Case 1	Turbid	5	143	Gram-positive diplococcus	82	PMN (48%), L (42%), and others (10%)	Culture, Streptococcus suis II	Discharge
Case 2	Normal	22	320	No findings	1,322	PMN (44%), L (52%), and others (4%)	Culture, Streptococcus suis I	Discharge

y, years; COPD, chronic pulmonary obstructive disease; CSF, cerebrospinal fluid; WCC, white cell count; PMN, polymorphonuclear cells; L, lymphocytes.