Streptococcus equi subspecies zooepidemicus meningitis--a case report and review of the literature

摘要: A case is described of a 79-year-old man, trampled by his horses, who subsequently developed wound infection and, later, meningitis. Streptococcus equi subsp. zooepidemicus was isolated as the causative organism. S. zooepidemicus, which carries Lancefield Group C antigen, an uncommon human pathogen but commonly from bacterial infections in animals, particularly horses. It most acquired humans following animal contact. review literature identified 20 previously cases Crude mortality 24%. All patients died were over 70 years age and ingestion unpasteurised dairy products associated with all one fatal cases. Hearing loss frequent complication, occurring 19% Only 38% made complete recovery. Treatment regimes included benzylpenicillin or third-generation cephalosporin, mean treatment duration survivors 23 days.