Büngener W, Bialek R
Hafenkrankenhaus, Hamburg, FRG.
Eur J Clin Microbiol Infect Dis. 1989 Apr;8(4):306-8. doi: 10.1007/BF01963457.
A 51-year-old abattoir worker became ill with high fever and was admitted to hospital late in the evening, where he died 4 h later. Smears of peripheral blood taken 7 h after death showed numerous cocci. Cultures of the blood grew beta-hemolytic streptococci exhibiting the biochemical properties of Streptococcus suis II. A complete autopsy with extensive microscopical studies showed numerous bacteria in small vessels of several organs, but no bacterial colonisation of tissues, meningitis, or other relevant lesions were found. The group R antigen of the bacteria could be demonstrated by immunofluorescence in paraffin sections of the kidney and the adrenal gland. Two similar cases of fulminant fatal Streptococcus suis II septicemia have been reported from Denmark. This appears to be the first case observed in the Federal Republic of Germany.
一名51岁的屠宰场工人因高烧生病，傍晚时被送往医院，4小时后死亡。死后7小时采集的外周血涂片显示有大量球菌。血液培养物中生长出具有猪链球菌II生化特性的β-溶血性链球菌。全面的尸检及广泛的显微镜检查显示，多个器官的小血管中有大量细菌，但未发现组织细菌定植、脑膜炎或其他相关病变。通过免疫荧光法可在肾脏和肾上腺的石蜡切片中检测到该细菌的R群抗原。丹麦已报告了两例类似的猪链球菌II暴发性致死败血症病例。这似乎是德意志联邦共和国观察到的首例病例。
