CASE REPORT OF A CHILD DIAGNOSED WITH FIVE SEROTYPES / SEROGROUPS OF S. PNEUMONIAE

V. Levterova, I. Simeonovski, N. Brankova, M. Ivanova, I. Philipova, M. Malcheva
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Abstract

Streptococcus pneumoniae is one of the most common causes of widespread diseases. Pneumococci colonize asymptomatically the nasopharynx in children and could be responsible for severe, life-threatening illnesses such as pneumonia, sepsis and meningitis. The case report shows co-colonisation in two-year-old child vaccinated with the 10-valent pneumococcal conjugate vaccine (PCV-10) suffering from recurring catarrh and found to carry 5 serotypes S. pneumoniae. The strains have been detected and typed using molecular methods: real-time polymerase chain reaction (real-time PCR) and allelic hybridization. Monitoring S. pneumoniae colonization of human mucosa is crucial to reduce the likelihood of severe invasive pneumococcal diseases such as meningitis, pneumonia or otitis.
诊断为肺炎链球菌五种血清型/血清组的儿童病例报告
肺炎链球菌是引起广泛疾病的最常见原因之一。肺炎球菌在儿童的鼻咽部无症状地定植,可能导致严重的、危及生命的疾病,如肺炎、败血症和脑膜炎。病例报告显示,接种10价肺炎球菌结合疫苗(PCV-10)的两岁儿童出现共定植,患有复发性黏膜炎,并发现携带5种血清型肺炎链球菌。采用实时聚合酶链反应(real-time PCR)和等位基因杂交等分子方法对菌株进行检测和分型。监测肺炎链球菌在人粘膜的定植对于减少脑膜炎、肺炎或中耳炎等严重侵袭性肺炎球菌疾病的可能性至关重要。
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