关键词: bacterial infections diagnosis organ failure from sepsis sepsis-associated disseminated intravascular coagulation (dic) severe sepsis streptococcus suis toxic shock syndrome

来  源:   DOI:10.7759/cureus.62096   PDF(Pubmed)

Abstract:
Streptococcus suis infection in humans occurs due to consuming raw or undercooked pork meat and after contact with pigs. The highest prevalence occurs in Southeast Asian countries, which have the largest pork industry. We report the first case of a 50-year-old healthy male patient from a rural area of São Paulo, Brazil, with septicemia from undercooked pork meat ingestion. The patient was diagnosed at the emergency department with septicemia and multiple organ dysfunctions, including streptococcal toxic shock syndrome. Blood cultures yielded the growth of S. suis. The patient was treated with ceftriaxone and was maintained for two weeks, according to sensitivity tests. The outcome was favorable but developed deafness as a sequela. This report aims to give importance to recognizing this disease regarding typical signs and symptoms and occupational and epidemiological history.
摘要:
人类感染猪链球菌是由于食用生猪肉或未煮熟的猪肉以及与猪接触后发生的。患病率最高的是东南亚国家,拥有最大的猪肉产业。我们报告了第一例来自圣保罗农村地区的50岁健康男性患者,巴西,摄入未煮熟的猪肉引起的败血症。患者在急诊科被诊断为败血症和多器官功能障碍,包括链球菌中毒性休克综合征.血液培养产生猪链球菌的生长。患者接受头孢曲松治疗并维持两周,根据敏感性测试。结果良好,但发展为耳聋的后遗症。本报告旨在重视认识这种疾病的典型体征和症状以及职业和流行病学史。
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