Bateman A C, Ramsay A D, Pallett A P
Department of Histopathology, Southampton General Hospital.
J Clin Pathol. 1993 Oct;46(10):965-7. doi: 10.1136/jcp.46.10.965.
Serious infection caused by Lancefield group C streptococci is unusual in man. Two unrelated deaths associated with these organisms in a 55 year old woman who died after three days of diarrhoea and vomiting, and in a 65 old man who died after a week of non-specific symptoms, are presented. Post mortem examination showed septicaemia in the former and severe aortic stenosis with widespread septic emboli and probable meningitis in the latter. Lancefield group C streptococci were isolated from both cases. These organisms may be carried asymptomatically and usually cause disease in animals but cases of serious human infection have recently been described, mainly in elderly patients or those with other predisposing factors.
兰斯菲尔德C群链球菌引起的严重感染在人类中并不常见。本文报告了两例不相关的死亡病例,一例是一名55岁女性,在腹泻和呕吐三天后死亡;另一例是一名65岁男性,在出现非特异性症状一周后死亡。尸检显示,前者为败血症,后者为严重主动脉瓣狭窄伴广泛的脓毒性栓子,可能还有脑膜炎。两例均分离出兰斯菲尔德C群链球菌。这些微生物可能无症状携带,通常在动物中引起疾病,但最近已有严重人类感染病例的报道,主要发生在老年患者或有其他易感因素的人群中。