Streptococcus suis meningitis complicated with communicating hydrocephalus: complete clinical and radiological resolution with non-neurosurgical management—A case report
Frontiers in Medicine·
- DOI
- 10.3389/fmed.2026.1888345
- PMID
- —
- PMCID
- —
- OpenAlex
- —
- Study type
- Guideline
- Publisher
- Frontiers Media SA
- Article type
- journal-article
- Integrity
- current
Why this research matters now
The case suggests that contrast-enhanced MRI for accurate hydrocephalus subtyping and rapid pathogen identification via metagenomic sequencing may inform decisions about non-neurosurgical management in selected S. suis meningitis cases with communicating hydrocephalus.
Structured evidence summary
Research question
The report documents whether communicating hydrocephalus secondary to Streptococcus suis meningitis can be managed successfully without neurosurgical intervention.
Study design
Single case report of a 52-year-old patient with S. suis meningitis and communicating hydrocephalus. Diagnosis was confirmed by contrast-enhanced MRI and metagenomic next-generation sequencing of cerebrospinal fluid.
Population and setting
A 52-year-old man presenting with 8 days of progressive dizziness and gait imbalance. Clinical setting and geographic location are not specified in the supplied metadata.
Main findings
Metagenomic sequencing identified S. suis within 48 hours at 92.60% relative abundance after CSF cultures remained negative. Targeted antimicrobial therapy with short-course dexamethasone achieved complete clinical and radiological resolution without neurosurgery, and the patient remained asymptomatic with intact hearing at 10-month follow-up.
Public-health relevance
The case suggests that contrast-enhanced MRI for accurate hydrocephalus subtyping and rapid pathogen identification via metagenomic sequencing may inform decisions about non-neurosurgical management in selected S. suis meningitis cases with communicating hydrocephalus.
Important limitations
This summary relies on a single-article abstract and metadata. Single case reports cannot establish generalizability, and the full paper would be required to assess selection criteria, contraindications, monitoring protocols, and applicability to other patient populations.
GIDS interpretation
The classifier linked this article to Streptococcus suis disease and treatment topics. This linkage reflects metadata-based discoverability for zoonotic meningitis literature and does not indicate an active surveillance signal or outbreak detection.
Related GIDS surveillance
Literature context does not validate, explain, or change a surveillance signal. Exact and contextual relationships are shown separately.
Evidence relationships
This article has 8 auditable classifier relationships to diseases, places, topics, and study design.