摘要
目的探讨食物源性C组β型溶血性链球菌感染的临床特点、治疗方法及转归。方法回顾分析河北医科大学第一医院2003-05-28—2003-06-03确诊的51例C组β型溶血性链球菌感染的临床特点。结果51例患者均为食源性感染,临床表现主要为咽充血51例(100%)、发热44例(86%)、扁桃体肿大39例(76.5%)、头痛31例(60.8%)、全身酸痛23例(45.1%)。消化道症状不明显。咽拭子采样17份,细菌培养均阳性;漱口液采样44份,细菌培养阳性23份(52.3%)。培养细菌均为C组β型溶血停乳链球菌类马亚种。51例患者经抗感染治疗均痊愈出院,无并发症。结论与食物污染有关的集体发病患者表现为发热、头痛、全身酸痛、咽痛、咽部充血及扁桃体肿大应考虑到C组链球菌感染的可能,污染食物、咽拭子、漱口液培养可以明确诊断,如未合并严重基础疾病并给予及时有效的抗感染治疗多预后良好。
Objective To investigate the clinic characteristics, therapeutical approaches and outcome of food - borne infection oaused by Group C, Typeβ hemolytic streptococcus. Methods We retrospectively analyzed 51 patients infected by Group C, Typeβ hemolytic streptococcus who were hospitalized in the First Hospital of Hebei Medical University from May to June 2003. Results All the patients had eaten the same food which was infected by Group C, Typeβ hemolytic streptococcus. The clinical manifestations were 51 pharyngal hyperaemia ( 100% ), 44 fever (86%), 39 tonsillitis (76. 5% ), 31 headache (60. 8% ) and 23 ache from head to foot (45. 1% ). There was no obvious digestive symptom. Seventeen cultivated pharyngal swab samples had all positive results, and 23 (52. 3% ) of 44, cultivated collutory samples were positive. The cultivated bacteria were all Group C, Typeβ hemolytic streptococcus equisimilies. All the patients were cured after antimicrobial therapy, and hadn't get any complication. Conclusion Infection caused by Group C, Typeβ hemolytic streptococcus should be considered if the patients have the same food and have such symptoms as fever, headache, ache from head to foot, pharyngal hyperaemia and tonsillitis. Diagnosis can be confirmed with the positive cultivated result of pharyngal swab and collutory. The patients without serious basic disease will have good prognosis after effective and timely therapy.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2006年第6期826-828,共3页
Chinese Journal of Practical Internal Medicine
关键词
链球菌感染
C组β型溶血性链球菌
食源性感染
Streptococcal infection Group C
Typeβ hemolytic streptococcus
Food -borne infection