Osinga A, Meyer P, Dijkstra R G
Tijdschr Diergeneeskd. 1976 May 15;101(10):548-58.
One hundred cases of severe acute mastitis are reported. Bacteriological examination of the milk was negative in 23% of the cases. E. coli was most frequently found to be the causative organism (23%), followed by St. aureus (19%), C. pyogenes (10%), Str. dysgalactiae (9%), Str. agalactiae (5%) and a number of other pathogenic agents such as atypical streptococci, Str. uberis, haemolytic streptococci, Aerobacter aerogenes, Kl. pneumoniae, a clostridium and P. multocida. In several cases, a tentative diagnosis may be based on the clinical symptoms, which is then found to be correct on bacteriological examination of the milk. The prognosis will vary with the causative organism. Treatment was life-saving in more than 90% of the cases, the milk-producing capacity of the affected quarter being completely preserved in 36% and partly preserved in 27% of the cases.
报告了100例严重急性乳腺炎病例。23%的病例乳汁细菌学检查呈阴性。最常发现的致病菌是大肠杆菌(23%),其次是金黄色葡萄球菌(19%)、化脓性链球菌(10%)、乳房炎链球菌(9%)、无乳链球菌(5%)以及一些其他病原体,如非典型链球菌、乳房链球菌、溶血性链球菌、产气气杆菌、肺炎克雷伯菌、一种梭状芽孢杆菌和多杀性巴氏杆菌。在一些病例中,初步诊断可能基于临床症状,随后乳汁细菌学检查证实诊断正确。预后因致病菌而异。超过90%的病例治疗挽救了生命,36%的病例患侧乳房产奶能力完全保留,27%的病例部分保留。