Streptococcus suis meningitis in the Netherlands

We present four patients with Streptococcus suis meningitis identified during a 3.5-year prospective surveillance study in the Netherlands. All cases were associated with exposure to pigs. Patients presented with classic symptoms and signs of bacterial meningitis. Outcome was characterized by severe hearing loss. Physicians should be aware of occupational exposure with S. suis and risk of meningitis associated with this pathogen.