<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1688-0390</journal-id>
<journal-title><![CDATA[Revista Médica del Uruguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Méd. Urug.]]></abbrev-journal-title>
<issn>1688-0390</issn>
<publisher>
<publisher-name><![CDATA[Sindicato Médico del Uruguay]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1688-03902024000301701</article-id>
<article-id pub-id-type="doi">10.29193/rmu.40.3.7</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Meningoencefalitis aguda por Streptococcus suis. Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Streptococcus suis acute meningoencephalitis. Case report]]></article-title>
<article-title xml:lang="pt"><![CDATA[Meningoencefalite aguda por Streptococcus suis. Relato de caso]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Grasiuso]]></surname>
<given-names><![CDATA[Lucciano]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Florencia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguerrebere]]></surname>
<given-names><![CDATA[Paula]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bone]]></surname>
<given-names><![CDATA[Gabriela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pan]]></surname>
<given-names><![CDATA[Carlos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alzugaray]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Corporación Médica de Canelones (COMECA)  Unidad de Cuidados Intensivos]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Corporación Médica de Canelones(COMECA)  Servicio de Microbiología]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Centro Asistencial Médico del Este de Colonia (CAMEC)  Unidad de Cuidados Intensivos]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Uruguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2024</year>
</pub-date>
<volume>40</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_arttext&amp;pid=S1688-03902024000301701&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_abstract&amp;pid=S1688-03902024000301701&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.edu.uy/scielo.php?script=sci_pdf&amp;pid=S1688-03902024000301701&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La infección por Streptococcus suis es una zoonosis proveniente de los cerdos con manifestaciones clínicas variadas dentro de las cuales la meningitis purulenta es la más frecuente. Es una infección con baja mortalidad, pero con graves secuelas en un importante número de casos. Hasta el momento han sido reportados 5 casos Uruguay. Presentamos los casos de dos pacientes trabajadores rurales con exposición a cerdos, que ambos se presentaron como meningitis aguda supurada con buena evolución clínica con tratamiento antibiótico y cortocoideo. Realizamos una revisión de la literatura sobre este tema enfatizando aspectos clínicos, epidemiológicos, microbiológicos y del tratamiento.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The infection by Streptococcus suis is a zoonosis transmitted from pigs to humans with a wide clinical manifestation among which purulent meningitis is the most frequent. It&#8217;s an infection with low mortality but with severe sequalae. Up to date, only 5 cases, including ours, have been reported in our country. We present the cases of two rural worker patients with exposure to pigs, who both presented as acute purulent meningitis with good clinical outcome due to antibiotic and corticosteroid treatment. We present a review of the literature empathizing on clinical, epidemiological, microbiological and treatment aspects.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo A infecção por Streptococcus suis é uma zoonose proveniente de suínos com manifestações clínicas variadas, sendo a meningite purulenta a mais comum. É uma infecção com baixa mortalidade, mas com graves sequelas em um número significativo de casos. Até o momento, foram relatados 5 casos no Uruguai. Apresentamos os casos de dois pacientes trabalhadores rurais com exposição a suínos, ambos apresentando-se como meningite aguda purulenta com boa evolução clínica com tratamento antibiótico e corticosteroide. Realizamos uma revisão da literatura sobre o tema, enfatizando aspectos clínicos, epidemiológicos, microbiológicos e de tratamento.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Meningitis purulenta]]></kwd>
<kwd lng="es"><![CDATA[Streptococcus suis]]></kwd>
<kwd lng="es"><![CDATA[Zoonosis]]></kwd>
<kwd lng="en"><![CDATA[Purulent meningitis]]></kwd>
<kwd lng="en"><![CDATA[Streptococcus suis]]></kwd>
<kwd lng="en"><![CDATA[Zoonosis]]></kwd>
<kwd lng="pt"><![CDATA[Meningite purulenta]]></kwd>
<kwd lng="pt"><![CDATA[Streptococcus suis]]></kwd>
<kwd lng="pt"><![CDATA[Zoonose]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Dutkiewicz]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Sroka]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zaj&#261;c]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Wasi&#324;ski]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Cisak]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Sawczyn]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Streptococcus suis: A re-emerging pathogen associated with occupational exposure to pigs or pork products. Part I &#8211; Epidemiology]]></article-title>
<source><![CDATA[Ann Agric Environ Med.]]></source>
<year>2017</year>
<volume>24</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>683-95</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rayanakorn]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Goh]]></surname>
<given-names><![CDATA[BH]]></given-names>
</name>
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[LH]]></given-names>
</name>
<name>
<surname><![CDATA[Khan]]></surname>
<given-names><![CDATA[TM]]></given-names>
</name>
<name>
<surname><![CDATA[Saokaew]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Risk factors for Streptococcus suis infection: A systematic review and meta-analysis]]></article-title>
<source><![CDATA[Sci Rep [Internet].]]></source>
<year>2018</year>
<volume>8</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>1-9</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hlebowicz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Jakubowski]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Smiatacz]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Streptococcus suis Meningitis: Epidemiology, Clinical Presentation and Treatment]]></article-title>
<source><![CDATA[Vector-Borne Zoonotic Dis.]]></source>
<year>2019</year>
<volume>19</volume>
<numero>8</numero>
<issue>8</issue>
<page-range>557-62</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Ventura]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Soca]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Noveri]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Seija]]></surname>
<given-names><![CDATA[V]]></given-names>
</name>
<name>
<surname><![CDATA[Perendones]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Pérez Sartori]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<source><![CDATA[Meningoencefalitis por Streptococcus suis. Primeros dos casos en Uruguay [Internet]. Vol. 37, Archivos de Medicina Interna.]]></source>
<year>2015</year>
<page-range>80-2</page-range><publisher-loc><![CDATA[Montevideo ]]></publisher-loc>
<publisher-name><![CDATA[Sociedad de Medicina Interna del Uruguay]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B5">
<label>5.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Callejo]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Zheng]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Du]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Prieto]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Xu]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Zielinski]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Streptococcus suis serotype 2 strains isolated in Argentina (South America) are different from those recovered in North America and present a higher risk for humans]]></article-title>
<source><![CDATA[JMM Case Reports.]]></source>
<year>2016</year>
<volume>3</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>1-7</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Alarcón]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Streptococcus suis]]></article-title>
<source><![CDATA[Rev Chil Infectol.]]></source>
<year>2012</year>
<volume>29</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>541-2</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Kerdsin]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Human Streptococcus suis Infections in Thailand: Epidemiology, Clinical Features, Genotypes, and Susceptibility]]></article-title>
<source><![CDATA[Trop Med Infect Dis.]]></source>
<year>2022</year>
<volume>7</volume>
<numero>11</numero>
<issue>11</issue>
</nlm-citation>
</ref>
<ref id="B8">
<label>8.</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tram]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Jennings]]></surname>
<given-names><![CDATA[MP]]></given-names>
</name>
<name>
<surname><![CDATA[Blackall]]></surname>
<given-names><![CDATA[PJ]]></given-names>
</name>
<name>
<surname><![CDATA[Atack]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Streptococcus suis pathogenesis&#8212;A diverse array of virulence factors for a zoonotic lifestyle]]></article-title>
<source><![CDATA[Advances in Microbial Physiology.]]></source>
<year>2021</year>
<volume>78</volume>
<edition>1st ed.</edition>
<page-range>217-57</page-range><publisher-name><![CDATA[Elsevier Ltd.]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[van Samkar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Brouwer]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Schultsz]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[van der Ende]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[van de Beek]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Streptococcus suis Meningitis: A Systematic Review and Meta-analysis]]></article-title>
<source><![CDATA[PLoS Negl Trop Dis.]]></source>
<year>2015</year>
<volume>9</volume>
<numero>10</numero>
<issue>10</issue>
<page-range>1-10</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10.</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Gajdács]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Németh]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Knausz]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Barrak]]></surname>
<given-names><![CDATA[I]]></given-names>
</name>
<name>
<surname><![CDATA[Stájer]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Mestyán]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Streptococcus suis: An underestimated emerging pathogen in Hungary?]]></article-title>
<source><![CDATA[Microorganisms.]]></source>
<year>2020</year>
<volume>8</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>1-18</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
