A Streptococcus suis infection causing pneumonia in Indonesia: A case report
Streptococcus suis (S. suis) is a zoonotic pathogen that causes pneumonia, sepsis, endocarditis, and meningitis. S. suis is primarily found in the upper respiratory tract of pigs. To our knowledge, the first case of S. suis infection has resulted in pneumonia in Indonesia. A 40-year-old woman suffer...
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Elsevier
2022-11-01
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Series: | Radiology Case Reports |
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author | Cheria Cahyaningtyas Rahmawati Lisa Tenriesa Muslich Firdaus Hamid Andi Rofian Sultan Rizalinda Sjahril Muhammad Nasrum Massi Mochammad Hatta Baedah Madjid |
author_facet | Cheria Cahyaningtyas Rahmawati Lisa Tenriesa Muslich Firdaus Hamid Andi Rofian Sultan Rizalinda Sjahril Muhammad Nasrum Massi Mochammad Hatta Baedah Madjid |
author_sort | Cheria Cahyaningtyas |
collection | DOAJ |
description | Streptococcus suis (S. suis) is a zoonotic pathogen that causes pneumonia, sepsis, endocarditis, and meningitis. S. suis is primarily found in the upper respiratory tract of pigs. To our knowledge, the first case of S. suis infection has resulted in pneumonia in Indonesia. A 40-year-old woman suffered from shortness of breath last month. The complaint worsened one week ago. She also complained of a productive cough with thick white phlegm. She has a history of late-stage cervical cancer. The patient's vital signs were normal, except for tachypnea. Vesicular breath sounds, no wheezing, and coarse lung crackles were discovered during a physical examination. A chest x-ray showed patchy airspace opacities and interstitial thickening throughout both lungs. The following results were obtained from routine laboratory leukocytosis. Gram stain of the sputum showed a few Gram-positive cocci, mostly in pairs. We confirmed this finding by performing the blood agar, and chocolate agar revealed small α-hemolytic and catalase-negative colonies. The strain was positive for penicillin and ceftriaxone in antimicrobial susceptibility testing. A combination of penicillin and ceftriaxone intravenous was utilized for definitive treatment. After completing a 14-day course of oral antibiotic medication, the patient was discharged. Her symptoms had subsided. This case should remind physicians about the possibility of cancer associated with S. suis infected patient and no clear history of exposure to pigs or other animals. |
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id | doaj.art-748dfa95deed40caa27775dd63361e4f |
institution | Directory Open Access Journal |
issn | 1930-0433 |
language | English |
last_indexed | 2024-04-12T20:13:46Z |
publishDate | 2022-11-01 |
publisher | Elsevier |
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series | Radiology Case Reports |
spelling | doaj.art-748dfa95deed40caa27775dd63361e4f2022-12-22T03:18:10ZengElsevierRadiology Case Reports1930-04332022-11-01171143374340A Streptococcus suis infection causing pneumonia in Indonesia: A case reportCheria Cahyaningtyas0 Rahmawati1Lisa Tenriesa Muslich2Firdaus Hamid3Andi Rofian Sultan4Rizalinda Sjahril5Muhammad Nasrum Massi6Mochammad Hatta7Baedah Madjid8Corresponding author.; Department of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, IndonesiaDepartment of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, IndonesiaDepartment of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, IndonesiaDepartment of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, IndonesiaDepartment of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, IndonesiaDepartment of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, IndonesiaDepartment of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, IndonesiaDepartment of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, IndonesiaDepartment of Microbiology, Faculty of Medicine, Hasanuddin University, Makassar, South Sulawesi, IndonesiaStreptococcus suis (S. suis) is a zoonotic pathogen that causes pneumonia, sepsis, endocarditis, and meningitis. S. suis is primarily found in the upper respiratory tract of pigs. To our knowledge, the first case of S. suis infection has resulted in pneumonia in Indonesia. A 40-year-old woman suffered from shortness of breath last month. The complaint worsened one week ago. She also complained of a productive cough with thick white phlegm. She has a history of late-stage cervical cancer. The patient's vital signs were normal, except for tachypnea. Vesicular breath sounds, no wheezing, and coarse lung crackles were discovered during a physical examination. A chest x-ray showed patchy airspace opacities and interstitial thickening throughout both lungs. The following results were obtained from routine laboratory leukocytosis. Gram stain of the sputum showed a few Gram-positive cocci, mostly in pairs. We confirmed this finding by performing the blood agar, and chocolate agar revealed small α-hemolytic and catalase-negative colonies. The strain was positive for penicillin and ceftriaxone in antimicrobial susceptibility testing. A combination of penicillin and ceftriaxone intravenous was utilized for definitive treatment. After completing a 14-day course of oral antibiotic medication, the patient was discharged. Her symptoms had subsided. This case should remind physicians about the possibility of cancer associated with S. suis infected patient and no clear history of exposure to pigs or other animals.http://www.sciencedirect.com/science/article/pii/S1930043322006914Streptococcus suisPneumoniaInfection caseCancerZoonosis |
spellingShingle | Cheria Cahyaningtyas Rahmawati Lisa Tenriesa Muslich Firdaus Hamid Andi Rofian Sultan Rizalinda Sjahril Muhammad Nasrum Massi Mochammad Hatta Baedah Madjid A Streptococcus suis infection causing pneumonia in Indonesia: A case report Radiology Case Reports Streptococcus suis Pneumonia Infection case Cancer Zoonosis |
title | A Streptococcus suis infection causing pneumonia in Indonesia: A case report |
title_full | A Streptococcus suis infection causing pneumonia in Indonesia: A case report |
title_fullStr | A Streptococcus suis infection causing pneumonia in Indonesia: A case report |
title_full_unstemmed | A Streptococcus suis infection causing pneumonia in Indonesia: A case report |
title_short | A Streptococcus suis infection causing pneumonia in Indonesia: A case report |
title_sort | streptococcus suis infection causing pneumonia in indonesia a case report |
topic | Streptococcus suis Pneumonia Infection case Cancer Zoonosis |
url | http://www.sciencedirect.com/science/article/pii/S1930043322006914 |
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