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[猪链球菌引起的化脓性关节炎]

[Septic arthritis caused by Streptococcus suis].

作者信息

Hedegaard Sofie Sommer, Zaccarin Matthias, Lindberg Jens

机构信息

Medicinsk Afdeling, Regionshospitalet Herning, Gl. Landevej 61, 7400 Herning, Denmark.

出版信息

Ugeskr Laeger. 2013 May 27;175(22):1574-5.

Abstract

Streptococcus suis is a global endemic swine pathogen. S. suis can cause meningitis, endocarditis and severe sepsis in humans, who are exposed to swine. Human infection with S. suis was first reported in 1968, since then, human infections have been sporadic although an outbreak in China counted 215 cases. In a rare case of disseminated arthritis we found that correct clinical diagnosis was difficult due to unspecific symptomatology and slow growing bacterial culture. However, conducting thorough examinations is crucial, and if treated correctly the outcome is favourable.

摘要

猪链球菌是一种全球地方性流行的猪病原体。猪链球菌可在接触猪的人群中引起脑膜炎、心内膜炎和严重败血症。1968年首次报告了人类感染猪链球菌的病例,自那时以来,人类感染一直呈散发性,不过在中国曾有一次爆发,病例数达215例。在一例罕见的播散性关节炎病例中,我们发现由于症状不具特异性且细菌培养生长缓慢,难以做出正确的临床诊断。然而,进行全面检查至关重要,并且如果治疗得当,预后良好。

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