ConclusionS. suis infection is not uncommon. Te low number of cases reported were largely due to under diagnosis andunawareness of the disease. Te organism is ofen misidentifed by clinicians resulting in delay or inadequatetreatment. It is important that patients with suggestive S. suis clinical symptoms with predisposing risk factorsshould receive adequate care while waiting for laboratory confrmation despite negative bacterial culture eitherdue to misidentifcation or previous antibiotic administration. Developing a screening protocol would be usefulto aid the treatment decision. Once a clear clinical picture is identifed, the diagnosis should not be too difcult.Te immediate treatment with penicillin or antimicrobial that the pathogen is susceptible to before developmentof complications particularly deafness would be essential in preventing long term mortality and morbidity.In an absence of vaccination, the best control measure is to prevent the disease transmission. Public healthinterventions including a food safety campaign would be efective to enhance understanding about the diseaseespecially in settings where there is a strong relationship between raw pork consumption and traditional culture.