Matsuo Hirosuke, Sakamoto Seizaburou
Central Laboratory, Sasebo Chuo Hospital.
Kansenshogaku Zasshi. 2003 May;77(5):340-2. doi: 10.11150/kansenshogakuzasshi1970.77.340.
A case of Purulent meningitis caused by Streptococcus suis type 2 is reported here. It occurred in a 58-year-old male pig breeder. A few days before presentation, the patient had experienced headache, systemic articular pain and fever (38.8 degrees C). On admission, he was stuporous and had neck stiffness and hemiparesis. Examination of cerebrospinal fluid showed purulent meningitis. The cultures identified Streptococcus suis II by PCR and specific serum. 2 months later, the patient was discharged in good clinical condition except for hearing loss. Streptococcus suis is known to be an important pathogen in the swine industry, this report is the first case of S. suis meningitis in man, in Japan.
本文报告一例由2型猪链球菌引起的化脓性脑膜炎病例。患者为一名58岁的男性养猪户。发病前几天，患者出现头痛、全身关节疼痛和发热（38.8摄氏度）。入院时，患者昏迷，有颈部僵硬和偏瘫症状。脑脊液检查显示为化脓性脑膜炎。通过聚合酶链反应（PCR）和特异性血清培养鉴定出猪链球菌II型。2个月后，患者临床状况良好出院，但有听力损失。猪链球菌是养猪业中的一种重要病原体，本报告是日本首例人类感染猪链球菌脑膜炎病例。
