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病例报告:马来西亚沙巴州婆罗洲的两例人类感染猪链球菌病例。

Case report: two human Streptococcus suis infections in Borneo, Sabah, Malaysia.

作者信息

Rajahram Giri Shan, Hameed Ahneez Abdul, Menon Jayaram, William Timothy, Tambyah Paul Anantharajah, Yeo Tsin Wen

机构信息

Infectious Diseases Unit, Department of Medicine, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia.

Clinical Research Centre, Queen Elizabeth Hospital, Kota Kinabalu, Sabah, Malaysia.

出版信息

BMC Infect Dis. 2017 Mar 4;17(1):188. doi: 10.1186/s12879-017-2294-z.

Abstract

BACKGROUND

Streptococcus Suis (S.suis) is increasingly being recognised as a potentially preventable emerging zoonotic infection in humans with a global distribution. It is a major cause of meningitis especially among those in contact with pigs and has also been associated with a toxic shock syndrome.

CASE PRESENTATIONS

We report the first two human cases from Sabah, Borneo, Malaysia which expands the global reach of this important pathogen. Here, we illustrate their epidemiological risk factors, clinical presentation and resulting sequelae of both patients.

CONCLUSION

The continued public health threat of zoonotic infections such as S.suis, highlights the need for accurate epidemiological surveillance, regulation of pig farming, slaughtering and continued advocacy of best practices for pork preparation and consumption.

摘要

背景

猪链球菌日益被视为一种具有全球分布、潜在可预防的新发人畜共患病原体。它是脑膜炎的主要病因,尤其是在接触猪的人群中,还与中毒性休克综合征有关。

病例报告

我们报告了马来西亚婆罗洲沙巴的首例两例人类病例,这扩大了这种重要病原体的全球分布范围。在此,我们阐述了两位患者的流行病学危险因素、临床表现及由此产生的后遗症。

结论

猪链球菌等人畜共患病持续构成的公共卫生威胁凸显了准确的流行病学监测、养猪业监管、屠宰以及持续倡导猪肉制备和消费最佳做法的必要性。

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