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Emergency Medicine Journal 2008;25:607-608; doi:10.1136/emj.2007.052233
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY CASEBOOK

Meningitis in a butcher

S S Rao1, A Mariathas2, L Teare2

1 Princess Royal University Hospital, Orpington, Kent, UK
2 Broomfield Hospital, Chelmsford, Essex, UK

Correspondence to:
Dr S S Rao, Princess Royal University Hospital, Orpington, Kent, UK; raoshwetha{at}aol.com

ABSTRACT

Streptococcus suis is a common pathogen in swine and infection in humans is rarely reported. When it does occur, it is considered an occupational risk associated with the handling of carcasses. Meningitis is one of the most life-threatening manifestations of S suis infection. This case of meningitis in a butcher is reported to create awareness of this zoonotic disease. The report highlights the importance of an occupational history and a meticulous general physical examination looking for cuts and abrasions in patients with suspicion of meningitis.


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