Streptococcus suis

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Streptococcus suis
Scientific classification OOjs UI icon edit-ltr.svg
Domain: Bacteria
Phylum: Bacillota
Class: Bacilli
Order: Lactobacillales
Family: Streptococcaceae
Genus: Streptococcus
Species:
S. suis
Binomial name
Streptococcus suis
(ex Elliot 1966)
Kilpper-Bälz & Schleifer 1987

Streptococcus suis is a peanut-shaped, Gram-positive bacterium, and an important pathogen of pigs. Endemic in nearly all countries with an extensive pig industry, S. suis is also a zoonotic disease, capable of transmission to humans from pigs. [1]

Contents

Humans can be infected with S. suis when they handle infected pig carcasses or meat, especially with exposed cuts and abrasions on their hands. Human infection can be severe, with meningitis, septicaemia, endocarditis, and deafness as possible outcomes of infection. [2] Fatal cases of S. suis are uncommon, but not unknown. [1]

Penicillin is the most common antibiotic used in treatment of S. suis infection; in cases with cardiac involvement (endocarditis), gentamicin should also be given for synergistic effect.

Epidemiology and transmission

The natural habitat of S. suis in pigs is the upper respiratory tract, particularly the tonsils and nasal cavity, and the alimentary and genital tracts. An individual pig can carry more than serotype in their nasal cavity. Incidence of disease varies but is usually less than 5%. Disease is often introduced into a noninfected herd via healthy carrier animals and during outbreaks when sick animals shed more bacteria horizontal transmission by direct contact or aerosol is important. Flies can also spread bacteria between farms and wild boar in many countries are known to carry S. suis and may be an important reservoir. [3]

Clinical signs and diagnosis

The first sign in pigs is usually pyrexia and there may be sudden deaths in the herd. Respiratory disease, with pneumonia, nasal discharge and respiratory difficulties, may also be present. Neurological signs result from meningitis, and signs may be severe, ranging from tremors to seizures and death. Joints may become infected and pigs may be lame or have swollen limbs. Skin disease is another presentation, and reproductive disease can also occur. Meningitis is the most common presentation in humans. [4]

The bacterium can be isolated from various body fluids, and serological testing with an ELISA can also be performed. [4]

Treatment and control

Most S. suis strains respond to treatment with ampicillin and amoxicillin. Anti-inflammatories should also be used. [4]

Control relies on good husbandry and biosecurity protocols and appropriate disinfection. Vaccines exist but are not reliable. [4]

Zoonotic outbreaks

In July 2005, an outbreak of the disease in humans was reported in Sichuan, China, with higher than usual human morbidity and mortality; over 100 cases and more than 20 deaths were initially reported. Prior to this outbreak, less than 200 total human cases had been reported, and mortality was assumed to be less than 10%. Details of this outbreak and a similar earlier outbreak, also in Sichuan province, were published in 2006. [5] A smaller outbreak occurred at the same time in Hong Kong, affecting 11 people. [6]

A total of 204 human cases were documented during the Sichuan outbreak, with 38 fatalities. The human outbreak coincided with one in the local pig populations. There was no evidence of human-to-human transmission; all of the patients had been in direct contact with pigs. Many of the patients, and almost all of the fatal cases, had typical symptoms of Streptococcal toxic shock syndrome (STSS). To date, STSS has only been documented in patients infected with S. pyogenes , another member of the Streptococcus family but very different from S. suis. However, the bacteria isolates from the human and pig samples were clearly S. suis, and those isolates were able cause typical S. suis disease in piglets. [5]

The genome of S. suis isolates from the outbreak were examined to see whether its DNA sequence could explain why these particular bacteria were able to cause STSS. However, none of the genes that are present in S. pyogenes and thought to cause STSS were detected in the S. suis isolates. Comparison with other S. suis isolates from around the world, including one from an earlier smaller S. suis outbreak in Sichuan province that killed 14 out of 25 reported human cases, revealed that the two Chinese isolates were more similar to each other than to any other strains.[ citation needed ]

Additional experiments are necessary to determine whether the size and high mortality of the recent outbreak is because the Chinese S. suis version is more virulent than other strains or due to the circumstances under which the Chinese patients got infected and treated. Studies are under way to characterize the bacterial isolates from the outbreak in detail. Physicians around the world should be aware of the possibility of S. suis-associated STSS when they see patients with unexplained sepsis who had been in contact with pigs.[ citation needed ]

Streptococcus suis has also been identified as the most common cause of meningitis in Vietnam. [7]

The 2012 deaths of 64 of 66 children in Cambodia affected with a complex syndrome including meningitis and pneumonia has been linked to a multiple infection of the children with Dengue fever, Enterovirus 71 and S. suis [8] The use of steroids in the treatment of the severe illness has also been associated with the deaths, and the WHO has advised against the use of steroids in the treatment of this syndrome.[ citation needed ]

Detection

Detection of the zoonotic bacterial pathogen Streptococcus suis was achieved using magnetic glycoparticles. The bacteria contain an adhesion protein for the carbohydrate sequence Gal-1,4Gal. After incubation with various amounts of the pathogen, magnetic concentration and ATP detection, bacterial levels down to 10^5 cfu could be detected. [9]

Related Research Articles

<i>Streptococcus</i> Genus of bacteria

Streptococcus is a genus of gram-positive coccus or spherical bacteria that belongs to the family Streptococcaceae, within the order Lactobacillales, in the phylum Bacillota. Cell division in streptococci occurs along a single axis, so as they grow, they tend to form pairs or chains that may appear bent or twisted. This differs from staphylococci, which divide along multiple axes, thereby generating irregular, grape-like clusters of cells. Most streptococci are oxidase-negative and catalase-negative, and many are facultative anaerobes.

<span class="mw-page-title-main">Group A streptococcal infection</span> Medical condition

Group A streptococcal infections are a number of infections with Streptococcus pyogenes, a group A streptococcus (GAS). S. pyogenes is a species of beta-hemolytic Gram-positive bacteria that is responsible for a wide range of infections that are mostly common and fairly mild. If the bacteria enter the bloodstream an infection can become severe and life-threatening, and is called an invasive GAS (iGAS).

<i>Streptococcus pyogenes</i> Species of bacterium

Streptococcus pyogenes is a species of Gram-positive, aerotolerant bacteria in the genus Streptococcus. These bacteria are extracellular, and made up of non-motile and non-sporing cocci that tend to link in chains. They are clinically important for humans, as they are an infrequent, but usually pathogenic, part of the skin microbiota that can cause Group A streptococcal infection. S. pyogenes is the predominant species harboring the Lancefield group A antigen, and is often called group A Streptococcus (GAS). However, both Streptococcus dysgalactiae and the Streptococcus anginosus group can possess group A antigen as well. Group A streptococci, when grown on blood agar, typically produce small (2–3 mm) zones of beta-hemolysis, a complete destruction of red blood cells. The name group A (beta-hemolytic) Streptococcus (GABHS) is thus also used.

<i>Streptococcus pneumoniae</i> Species of bacterium

Streptococcus pneumoniae, or pneumococcus, is a Gram-positive, spherical bacteria, alpha-hemolytic member of the genus Streptococcus. They are usually found in pairs (diplococci) and do not form spores and are non motile. As a significant human pathogenic bacterium S. pneumoniae was recognized as a major cause of pneumonia in the late 19th century, and is the subject of many humoral immunity studies.

<i>Erysipelothrix rhusiopathiae</i> Species of pathogenic bacterium

Erysipelothrix rhusiopathiae is a Gram-positive, catalase-negative, rod-shaped, non-spore-forming, nonacid-fast, nonmotile bacterium. Distributed worldwide, E. rhusiopathiae is primarily considered an animal pathogen, causing the disease known as erysipelas that may affect a wide range of animals. Pigs, turkeys and laying hens are most commonly affected, but cases have been reported in other mammals, birds, fish, and reptiles. In pigs, the disease is known as diamond skin disease. The bacterium can also cause zoonotic infections in humans, called erysipeloid. The human disease called erysipelas is not caused by E. rhusiopathiae, but by various members of the genus Streptococcus.

<span class="mw-page-title-main">Opportunistic infection</span> Infection caused by pathogens that take advantage of an opportunity not normally available

An opportunistic infection is an infection caused by pathogens that take advantage of an opportunity not normally available. These opportunities can stem from a variety of sources, such as a weakened immune system, an altered microbiome, or breached integumentary barriers. Many of these pathogens do not necessarily cause disease in a healthy host that has a non-compromised immune system, and can, in some cases, act as commensals until the balance of the immune system is disrupted. Opportunistic infections can also be attributed to pathogens which cause mild illness in healthy individuals but lead to more serious illness when given the opportunity to take advantage of an immunocompromised host.

Streptococcus bovis is a species of Gram-positive bacteria that in humans is associated with urinary tract infections, endocarditis, sepsis, and colorectal cancer. S. gallolyticus is commonly found in the alimentary tract of cattle, sheep, and other ruminants, and may cause ruminal acidosis or feedlot bloat. It is also associated with spontaneous bacterial peritonitis, a frequent complication occurring in patients affected by cirrhosis. Equivalence with Streptococcus equinus has been contested.

Fusobacterium necrophorum is a species of bacteria responsible for Lemierre's syndrome. It has also been known to cause sinusitis, mastoiditis, and odontogenic infections.

<i>Arcanobacterium haemolyticum</i> Species of bacterium

Arcanobacterium haemolyticum is a species of bacteria classified as a gram-positive bacillus. It is catalase-negative, facultative anaerobic, beta-hemolytic, and not motile. It has been known to cause head and neck infections, pharyngitis, and sinusitis.

<span class="mw-page-title-main">Pathogenic bacteria</span> Disease-causing bacteria

Pathogenic bacteria are bacteria that can cause disease. This article focuses on the bacteria that are pathogenic to humans. Most species of bacteria are harmless and are often beneficial but others can cause infectious diseases. The number of these pathogenic species in humans is estimated to be fewer than a hundred. By contrast, several thousand species are part of the gut flora present in the digestive tract.

Pneumococcal infection is an infection caused by the bacterium Streptococcus pneumoniae.

<i>Streptococcus canis</i> Species of bacterium

Streptococcus canis is a group G beta-hemolytic species of Streptococcus. It was first isolated in dogs, giving the bacterium its name. These bacteria are characteristically different from Streptococcus dysgalactiae, which is a human-specific group G species that has a different phenotypic chemical composition. S. canis is important to the skin and mucosal health of cats and dogs, but under certain circumstances, these bacteria can cause opportunistic infections. These infections were known to afflict dogs and cats prior to the formal description of the species in Devriese et al., 1986. However, additional studies revealed cases of infection in other mammal species, including cattle and even humans. Instances of mortality from S. canis in humans are very low with only a few reported cases, while actual instances of infection may be underreported due to mischaracterizations of the bacteria as S. dysgalactiae. This species, in general, is highly susceptible to antibiotics, and plans to develop a vaccine to prevent human infections are currently being considered.

<i>Streptococcus dysgalactiae</i> Species of bacterium

Streptococcus dysgalactiae is a gram positive, beta-haemolytic, coccal bacterium belonging to the family Streptococcaceae. It is capable of infecting both humans and animals, but is most frequently encountered as a commensal of the alimentary tract, genital tract, or less commonly, as a part of the skin flora. The clinical manifestations in human disease range from superficial skin-infections and tonsillitis, to severe necrotising fasciitis and bacteraemia. The incidence of invasive disease has been reported to be rising. Several different animal species are susceptible to infection by S. dysgalactiae, but bovine mastitis and infectious arthritis in lambs have been most frequently reported.

<i>Streptococcus zooepidemicus</i> Species of bacterium

Streptococcus zooepidemicus is a Lancefield group C streptococcus that was first isolated in 1934 by P. R. Edwards, and named Animal pyogens A. It is a mucosal commensal and opportunistic pathogen that infects several animals and humans, but most commonly isolated from the uterus of mares. It is a subspecies of Streptococcus equi, a contagious upper respiratory tract infection of horses, and shares greater than 98% DNA homology, as well as many of the same virulence factors.

<i>Streptococcus iniae</i> Species of bacterium

Streptococcus iniae is a species of Gram-positive, sphere-shaped bacterium belonging to the genus Streptococcus. Since its isolation from an Amazon freshwater dolphin in the 1970s, S. iniae has emerged as a leading fish pathogen in aquaculture operations worldwide, resulting in over US$100M in annual losses. Since its discovery, S. iniae infections have been reported in at least 27 species of cultured or wild fish from around the world. Freshwater and saltwater fish including tilapia, red drum, hybrid striped bass, and rainbow trout are among those susceptible to infection by S. iniae. Infections in fish manifest as meningoencephalitis, skin lesions, and septicemia.

Perianal cellulitis, also known as perianitis or perianal streptococcal dermatitis, is a bacterial infection affecting the lower layers of the skin (cellulitis) around the anus. It presents as bright redness in the skin and can be accompanied by pain, difficulty defecating, itching, and bleeding. This disease is considered a complicated skin and soft tissue infection (cSSTI) because of the involvement of the deeper soft tissues.

Bacteriophage T12 is a bacteriophage that infects Streptococcus pyogenes bacteria. It is a proposed species of the family Siphoviridae in the order Caudovirales also known as tailed viruses. It converts a harmless strain of bacteria into a virulent strain. It carries the speA gene which codes for erythrogenic toxin A. speA is also known as streptococcal pyogenic exotoxin A, scarlet fever toxin A, or even scarlatinal toxin. Note that the name of the gene "speA" is italicized; the name of the toxin "speA" is not italicized. Erythrogenic toxin A converts a harmless, non-virulent strain of Streptococcus pyogenes to a virulent strain through lysogeny, a life cycle which is characterized by the ability of the genome to become a part of the host cell and be stably maintained there for generations. Phages with a lysogenic life cycle are also called temperate phages. Bacteriophage T12, proposed member of family Siphoviridae including related speA-carrying bacteriophages, is also a prototypic phage for all the speA-carrying phages of Streptococcus pyogenes, meaning that its genome is the prototype for the genomes of all such phages of S. pyogenes. It is the main suspect as the cause of scarlet fever, an infectious disease that affects small children.

Lactococcus garvieae is a known fish pathogen affecting saltwater fish in the Far East, specifically in rainbow trout, Japanese yellowtail, Cobia and grey mullet. This bacteria causes lesions in the vascular endothelium, leading to hemorrhages and petechias at the surface of internal organs. As few as 10 bacterial cells per fish can cause an infection. L. garvieae is isolated in saltwater fish in the Far East and specifically in European rainbow trout.

Actinobacillus equuli is a gram-negative, non-motile rod bacteria from the family Pasteurellaceae.

References

  1. 1 2 Sriskandan S, Slater JD; Slater (2006). "Invasive Disease and Toxic Shock due to Zoonotic Streptococcus suis: An Emerging Infection in the East?". PLOS Med. 3 (5): e187. doi: 10.1371/journal.pmed.0030187 . PMC   1434506 . PMID   16594733.
  2. Huang YT, Teng LJ, Ho SW, Hsueh PR; Teng; Ho; Hsueh (2005). "Streptococcus suis infection". J Microbiol Immunol Infect. 38 (5): 306–13. PMID   16211137.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  3. Gottschalk, Marcelo (2012). "Streptococcosis". In Zimmerman, Jeffrey J.; Karriker, Locke A.; Ramirez, Alejandro; Schwartz, Kent J.; Stevenson, Gregory W. (eds.). Diseases of Swine (Tenth ed.). John Wiley & Sons, Inc. p. 843. ISBN   978-0-8138-2267-9.
  4. 1 2 3 4 Streptococcus and Enterococcus Infections - Pigs reviewed and published by WikiVet, accessed 12 October 2011.
  5. 1 2 Tang J, et al. (2006). "Streptococcal Toxic Shock Syndrome Caused by Streptococcus suis Serotype 2". PLOS Med. 3 (5): e151. doi: 10.1371/journal.pmed.0030151 . PMC   1434494 . PMID   16584289.
  6. "Breaking the taboo". The Hong Kong Standard. October 8, 2005. Retrieved 29 July 2009.
  7. Mai NTH, Hoa NT, Nga TVT, et al. (2008). "Streptococcus suis meningitis in adults in Vietnam". Clin Infect Dis. 46 (5): 659–667. doi: 10.1086/527385 . PMID   19413493.
  8. "Mystery illness in Cambodia solved, doctors say". CNN . 11 July 2012.
  9. Parera Pera N., Kouki A., Finne J., Pieters R. J., et al. (2010). "Detection of pathogenic Streptococcus suis bacteria using magnetic glycoparticles". Organic & Biomolecular Chemistry. 8 (10): 2425–2429. doi:10.1039/C000819B. PMID   20448902.