Dolente B A, Seco O M, Lewis M L
Department of Medicine, School of Veterinary Medicine, New Bolton Center, University of Pennsylvania, Kennett Square 19348, USA.
J Am Vet Med Assoc. 2000 Jul 1;217(1):64-7, 30. doi: 10.2460/javma.2000.217.64.
A 14-year-old horse was admitted to the veterinary hospital for treatment of tachycardia and lethargy. Initial diagnoses were ventricular tachycardia and renal dysfunction. During hospitalization other findings included fever, renal failure, hepatic failure, hypotension, and intermittent ventricular arrhythmias. Bacteriologic culture of 2 blood samples collected during febrile crises 7 days apart yielded Streptococcus mitis. These culture results along with other clinical and physical examination findings fulfill the criteria for a diagnosis of streptococcal toxic shock syndrome, previously described for humans and dogs. To our knowledge this is the first reported instance of this disease in a horse.
一匹14岁的马因心动过速和嗜睡被送往兽医医院治疗。初步诊断为室性心动过速和肾功能不全。住院期间的其他发现包括发热、肾衰竭、肝功能衰竭、低血压和间歇性室性心律失常。在相隔7天的发热危机期间采集的2份血样进行细菌培养，结果显示为缓症链球菌。这些培养结果连同其他临床和体格检查结果符合链球菌中毒性休克综合征的诊断标准，该综合征此前在人和狗身上有过描述。据我们所知，这是马身上首次报告的这种疾病的病例。
