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...

Full description

Bibliographic Details
Main Authors: Cheria Cahyaningtyas, Rahmawati, Lisa Tenriesa Muslich, Firdaus Hamid, Andi Rofian Sultan, Rizalinda Sjahril, Muhammad Nasrum Massi, Mochammad Hatta, Baedah Madjid
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322006914
_version_ 1811264956970041344
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.
first_indexed 2024-04-12T20:13:46Z
format Article
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
record_format Article
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
work_keys_str_mv AT cheriacahyaningtyas astreptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT rahmawati astreptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT lisatenriesamuslich astreptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT firdaushamid astreptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT andirofiansultan astreptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT rizalindasjahril astreptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT muhammadnasrummassi astreptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT mochammadhatta astreptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT baedahmadjid astreptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT cheriacahyaningtyas streptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT rahmawati streptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT lisatenriesamuslich streptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT firdaushamid streptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT andirofiansultan streptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT rizalindasjahril streptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT muhammadnasrummassi streptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT mochammadhatta streptococcussuisinfectioncausingpneumoniainindonesiaacasereport
AT baedahmadjid streptococcussuisinfectioncausingpneumoniainindonesiaacasereport