猪链球菌脑膜炎:一种新出现的人畜共患病?

Alicia Beteta López , Lorena Vega Prado , José Martínez Alarcón , Francisco Alba García , Adolfo Blanco Jarava , Alberto Galiana Ivars
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引用次数: 2

摘要

猪链球菌是一种与猪多种疾病相关的重要病原体,是全球养猪业面临的最重要问题之一。然而,人类感染猪链球菌是非常罕见的,被认为是一种不寻常的人畜共患病,因为从1968年到2004年,世界上只有大约250例病例被描述。从2005年开始,欧洲和东南亚出现了一些非常大规模的猪链球菌感染爆发,以及其他欧洲国家病例发病率的增加,使我们认为我们可以找到这些感染出现的过程。猪是一种革兰氏阳性兼性厌氧球菌,属于R、S和T兰斯菲尔德群。直到最近,在识别和区分这种有机体与其他链球菌物种方面存在重大困难,这可能是低估这些感染的原因。目前有了诊断工具和分子分型,可以更好地对分离株进行表征。人类最常见的猪链球菌感染是脑膜炎,但心内膜炎、肺炎、蜂窝组织炎、横纹肌溶解、关节炎、脊柱炎、硬膜外脓肿、腹膜炎、肠炎、眼内炎、葡萄膜炎、败血症伴脓毒性休克和多器官衰竭链球菌中毒性休克综合征也有报道。我国记录的猪链球菌感染病例不到20例,因此我们认为有兴趣传播猪链球菌脑膜炎新病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Meningitis por Streptococcus suis: ¿una zoonosis emergente?

Streptococcus suis is an important pathogen associated with a wide range of diseases in pigs, constituting one of the most important problems of the swine industry around the world.

However, infection with S. suis in humans is very rare and is considered an unusual zoonosis because from 1968 until 2004 had described only around 250 cases around the world.

The emergence of some very large outbreaks of infection with S. suis in Europe and Southeast Asia from the year 2005, and the increase in the incidence of cases in other European countries, has made to think that we can find about a process of emergence of these infections.

S. suis is a Gram-positive facultative anaerobic coccus, belonging to R, S, and T Lancefield groups. Until recently, there have been major difficulties in the identification and differentiation of this organism of other Streptococcus species, what could be the cause of an underestimation of these infections. It's currently with diagnostic tools and molecular typing that allow a better characterization of the isolates.

The most frequent S. suis in humans infection is meningitis, but endocarditis, pneumonia, cellulitis, rhabdomyolysis, arthritis, spondylodiscitis, abscess epidural, peritonitis, enteritis, endophthalmitis, uveitis, septicemia with septic shock and multiorgan failure streptococcal toxic shock syndrome have also been reported.

In our country less than 20 cases of S. suis infection have been documented, so we believe interest communicate a new case of S. suis meningitis.

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