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Background    Streptococcus suis  is a zoonotic pathogen which represents the leading cause of meningitis in Southeast Asia and an emerging pathogen in the Western world, the main risk factor for infection being contact with pigs. In Africa, the prevalence of  S. suis  infections in swine and humans is largely unrecognized, with only one recent report of a limited case series.    Case presentation  We describe a human case of meningitis due to  S. suis  in a 32-year-old man living in Togo. The patient had no particular medical history and no risk factors for immunodeficiency but reported regular contact with pork products. Using specific immunological and molecular methods, we characterized the isolate as  S. suis  serotype 2, ST1, one the most prevalent and virulent clone worldwide. The outcome was favorable after one week of adapted antibiotic therapy but the patient was left with severe hearing disorders.    Conclusions  This work highlights the emergence of this pathogen in Africa and reinforces the need for accurate epidemiological and surveillance studies of  S. suis  infections and for educating clinicians and exposed groups in non-endemic countries.

Human meningitis due to Streptococcus suis in Lomé, Togo: a case report