Kopić Jasminka, Paradzik Maja Tomić, Pandak Nenad
Opća bolnica Dr. Josip Bencević, Odjel za anesteziju i intenzivno lijecenje, Andrije Stampara 42, 35000 Slavonski Brod.
Lijec Vjesn. 2003 May-Jun;125(5-6):134-7.
Streptococcus suis is primarily pig's pathogen, but can cause disease in a man exposed to contact with pigs (butchers, abatoir workers, farmers). Infection in man is most frequently manifested as purulent meningitis, with deafness and ataxia, but there are rare reports on septic shock with multiple organ failure and death. We report two patients with Streptococcus suis type 1 infection, treated in "Dr Josip Bencević" General Hospital, Slavonski Brod. The first patient suffered a very abrupt and severe illness, with septic shock, multiple organ failure and lethal outcome. The second patient had purulent meningitis with deafness. Both of them had a defect in immunologic function before infection. They were probably infected during manipulation with pork meat at home. Our patients had infection with Streptococcus suis type 1, contrary to reports on prevalent human infection with type 2. It is necessary to make epidemiologic survey on human infection with that pathogen, especially in those professionally exposed to pigs and pork meat.
猪链球菌主要是猪的病原体，但可在接触猪的人（屠夫、屠宰场工人、农民）中引起疾病。人类感染最常表现为化脓性脑膜炎，伴有耳聋和共济失调，但关于感染导致感染性休克伴多器官功能衰竭和死亡的报道较少。我们报告了两名1型猪链球菌感染患者，在斯拉沃尼亚布罗德的“约西普·本采维奇博士”综合医院接受治疗。第一名患者病情突发且严重，出现感染性休克、多器官功能衰竭并最终死亡。第二名患者患有化脓性脑膜炎并伴有耳聋。他们在感染前免疫功能均有缺陷。他们可能在家中处理猪肉时被感染。我们的患者感染的是1型猪链球菌，这与关于2型猪链球菌在人类中普遍感染的报道不同。有必要对该病原体的人类感染情况进行流行病学调查，尤其是在那些职业上接触猪和猪肉的人群中。
