经皮肤感染严重猪链球菌病回顾性分析  

Retrospective analysis of severe streptococcus suis caused by skin infection

作　　者：曾芙蓉 杨桂林 朱德君 Zeng Furong;Yang Guilin;Zhu Dejun(Infection Medicine of Shenzhen People's Hospital,Guangdong Shenzhen 518020,China;General Surgery of Shenzhen Bao'an Shiyan People's Hospital,Guangdong Shenzhen 518000,China)

机构地区：[1]深圳市人民医院感染内科,广东深圳518020 [2]深圳宝安区石岩人民医院普外科,广东深圳518000

出　　处：《新发传染病电子杂志》2022年第3期68-71,共4页Electronic Journal of Emerging Infectious Diseases

摘　　要：目的通过对经皮肤感染致猪链球菌病患者的临床相关资料进行回顾性分析,提高医务人员对猪链球菌病的认识。方法回顾性分析2011年2月至2021年2月深圳市人民医院收治的6例经皮肤感染引起猪链球菌病患者的临床资料、实验室检验结果、细菌培养鉴定、影像学检查及诊疗转归等,分析临床特点。结果6例患者为男性,均通过皮肤伤口接触带菌猪肉后致病,经血培养或脑脊液培养鉴定为猪链球菌。5例以脑膜炎起病,经积极抗菌治疗病情得到很好控制,有2例患者出现听力损伤,经过治疗听力恢复正常。1例患者病情发展迅速,因休克死亡。结论猪链球菌病可经皮肤接触带菌猪肉感染,医务人员应提高对猪链球菌病的认识,便于临床早诊断有效控制患者病情进展。Objective To improve the medical staff’s understanding of streptococcus suis by retrospective analysis of the clinical relevant data of patients with streptococcus suis caused by skin infection.Method The clinical data,laboratory results,bacterial culture and identification,imaging examination,diagnosis and treatment outcomes of 6 patients with Streptococcus suis caused by skin infection admitted to Shenzhen People’s Hospital were retrospectively analyzed form February 2011 to February 2021,and the clinical characteristics were analyzed.Result All of the six patients were male,and all were infected by carrier pork through skin wound,and all of them were identified as streptococcus suis by blood culture or cerebrospinal fluid culture.Five patients had onset of meningitis,and the disease was well controlled by active antimicrobial therapy,and two patients had hearing impairment,and their hearing recovered after treatment.One patient developed rapidly and died due to shock.Conclusion Streptococcus suis can be infected by skin contact with carrier pork,and medical staff should improve the understanding of Streptococcus suis and facilitate early clinical diagnosis to effectively control the progression of the patient’s disease..

关 键 词：皮肤外伤 猪链球菌病 回顾性分析 

分 类 号：R632[医药卫生—外科学]