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暴发性猪链球菌感染导致心肌损伤和中毒性休克样综合征:一例报告

Fulminant Streptococcus suis Infection Causing Myocardial Damage and Toxic Shock-Like Syndrome: A Case Report.

作者信息

Hayasaka Taiki, Ono Toshiyuki, Takeuchi Toshiharu, Sato Ayaka, Kikuchi Yuta, Kinebuchi Takahiro, Tanino Mishie, Okada Motoi, Nakagawa Naoki

机构信息

Division of Cardiology and Nephrology, Department of Internal Medicine, Asahikawa Medical University, Asahikawa, JPN.

Department of Emergency Medicine, Asahikawa Medical University, Asahikawa, JPN.

出版信息

Cureus. 2024 Aug 11;16(8):e66625. doi: 10.7759/cureus.66625. eCollection 2024 Aug.

DOI:10.7759/cureus.66625
PMID:39258080
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11386272/
Abstract

There have been no prior reports of direct myocardial damage caused by , and understanding the clinical course of myocardial involvement is crucial for early diagnosis and initiation of treatment for this infection. A male pig farmer presented as an outpatient with a fever and sore throat, but within hours, his cardiac function declined, and his general condition deteriorated. Despite receiving comprehensive treatment, he succumbed to complications associated with toxic shock-like syndrome (TSLS). Blood cultures identified , and myocardial pathology revealed the presence of this bacterium in necrotic areas. This case marks the first reported instance of myocardial damage accompanied by TSLS due to , highlighting the significance of this infection.

摘要

此前尚无关于[病原体名称]引起直接心肌损伤的报道,了解心肌受累的临床过程对于该感染的早期诊断和治疗启动至关重要。一名男性养猪户门诊就诊时出现发热和咽痛,但数小时内心脏功能下降,全身状况恶化。尽管接受了综合治疗,他仍死于与中毒性休克样综合征(TSLS)相关的并发症。血培养鉴定出[病原体名称],心肌病理学显示坏死区域存在这种细菌。该病例是首例报道的因[病原体名称]导致伴有TSLS的心肌损伤,凸显了这种感染的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e8/11386272/dfe810485c93/cureus-0016-00000066625-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e8/11386272/7ab4330e98d2/cureus-0016-00000066625-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e8/11386272/15af63e4990c/cureus-0016-00000066625-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e8/11386272/47890a5c1f06/cureus-0016-00000066625-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e8/11386272/dfe810485c93/cureus-0016-00000066625-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e8/11386272/7ab4330e98d2/cureus-0016-00000066625-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e8/11386272/15af63e4990c/cureus-0016-00000066625-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e8/11386272/47890a5c1f06/cureus-0016-00000066625-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05e8/11386272/dfe810485c93/cureus-0016-00000066625-i04.jpg

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subtilisin-like serine proteases SspA-1 and SspA-2 interplay with complement C3a and C5a to facilitate bacterial immune evasion and infection.枯草溶菌素样丝氨酸蛋白酶 SspA-1 和 SspA-2 与补体 C3a 和 C5a 相互作用,以促进细菌的免疫逃避和感染。
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