Unidad de Enfermedades Infecciosas, Hospital Universitario Lucus Augusti, Lugo, Spain.
Servicio de Medicina Interna, Hospital Universitario Lucus Augusti, Lugo, Spain.
Enferm Infecc Microbiol Clin (Engl Ed). 2022 Feb;40(2):66-70. doi: 10.1016/j.eimce.2021.11.001. Epub 2021 Dec 2.
Streptococcus suis (S. suis) infection is poorly described zoonosis in our country, which is related with exposure to pigs or their meat. The most common clinical presentation is meningitis, while spine's involvement is rare.
We report 2 cases of S. suis infection and perform a systematic review of the articles published on S. suis spondylodiscitis between January 1994 and May 2020 with the aim of defining the clinical characteristics, predisposing factors and evolution.
17 cases are described, 76.5% males with a mean age of 57.6 years, generally without associated underlying disease. Enolism was a factor present in 17.6%. 70.6% had exposure to pigs or their meat and 20% hand injuries. The mean duration of symptoms was 10.2 days and the most affected segment was the lumbar level. 70.6% had meningitis. All were treated with beta-lactams with an average duration of 53.2 days. There was a recurrence and none died.
There are few cases of S. suis spondylodiscitis in the literature. When occurs, it is associated with another type of infection in most cases. They present a good response to medical treatment and a good prognosis.
猪链球菌（S. suis）感染在我国是一种描述不佳的人畜共患病，与接触猪或其肉类有关。最常见的临床表现为脑膜炎，而脊柱受累则较为罕见。
我们报告了 2 例猪链球菌感染病例，并对 1994 年 1 月至 2020 年 5 月期间发表的关于猪链球菌脊椎炎的文章进行了系统回顾，旨在明确其临床特征、易患因素和转归。
共描述了 17 例病例，男性占 76.5%，平均年龄为 57.6 岁，一般无伴发基础疾病。酗酒是 17.6%的患者存在的一个因素。70.6%的患者有接触过猪或其肉类，20%的患者有手部受伤。症状平均持续 10.2 天，最常受累的节段是腰椎。70.6%的患者有脑膜炎。所有患者均接受了β-内酰胺类药物治疗，平均疗程为 53.2 天。有 1 例复发，无死亡病例。
文献中猪链球菌脊椎炎的病例较少。发生时，大多数情况下与另一种类型的感染相关。它们对药物治疗反应良好，预后良好。
