Briko N I, Shervarli V I, Dynga L O, Nezhlukchenko M Iu, Beliakov V D
Zh Mikrobiol Epidemiol Immunobiol. 1993 Sep-Oct(5):35-40.
Altogether 162 cases of tonsillitis were registered in two military units during the period of May 11-16. The disease took an acute course with short-time fever, symptoms of acute intoxication, sore throat, pronounced inflammatory changes in tonsils and swelling of regional (submaxillary and anterocervical) lymph nodes. In some of the patients (1.1%) sickness and vomiting and in 0.2% diarrhea were registered. In 6.7% of the patients scarlatiniform eruptions were observed on days 2-3 of the disease. In the course of the bacteriological examination of the patients group A streptococci, serovar T II, were isolated. The dynamic study of paired sera showed a considerable increase in the number of patients with a high level of antibodies to streptolysin 0 and group A polysaccharide. All patients were fed at the same canteen. The factor of the transmission of this infection could be butter, stored without observation of the required temperature conditions and apportioned by the soldiers of the kitchen police. Experimental study revealed that group A streptococci are capable for proliferation and accumulation in butter.
5月11日至16日期间，两个军事单位共登记了162例扁桃体炎病例。该病呈急性病程，伴有短期发热、急性中毒症状、喉咙痛、扁桃体明显炎症变化以及局部（颌下和颈前）淋巴结肿大。部分患者（1.1%）出现恶心和呕吐，0.2%出现腹泻。6.7%的患者在病程第2至3天出现猩红热样皮疹。在对患者进行细菌学检查过程中，分离出了A组链球菌，血清型为T II。对双份血清的动态研究显示，抗链球菌溶血素0和A组多糖抗体水平高的患者数量大幅增加。所有患者都在同一个食堂就餐。这种感染的传播因素可能是黄油，其储存时未观察所需温度条件，由炊事班士兵分发。实验研究表明，A组链球菌能够在黄油中增殖和积聚。
