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报告一起接触病猪引起屎肠球菌感染暴发流行的临床分析。 40例患者中男 3 6例、女 4例 ,平均年龄 5 1.8岁 ;3 2例有病猪密切接触史 ,8例接触途径不明 ;病猪接触者中 8例有皮肤破损。按临床表现分为轻症型 7例 ,脑膜炎型 19例 ,中毒性休克综合征型14例。经血、脑脊液、骨髓及痰培养 ,阳性菌均为肠球菌 ,进一步鉴定为屎肠球菌。经联合应用抗菌药物及其他综合治疗 ,治愈 2 1例( 5 2 .5 0 % ) ,好转 7例 ( 17.5 0 % ) ,病死 12例 ( 3 0 .0 0 % )。分析认为 ,该起屎肠球菌引起的人、猪共患病 ,血、痰、脑脊液中均分离到相同病原菌 ,具有重要的流行病学意义 ;该病潜伏期短、发病急骤、病死率高 ,应予高度重视
Report a case of contact with sick pigs caused by outbreaks of Enterococcus faecium epidemic of clinical analysis. Among the 40 patients, there were 36 males and 4 females, with an average age of 5 1.8 years old. There were 32 cases of close contact with sick pigs and 8 cases of unknown routes of exposure. Eight of the infected pigs had skin lesions. According to clinical manifestations were divided into mild cases in 7 cases, meningitis in 19 cases, 14 cases of toxic shock syndrome. Menstrual blood, cerebrospinal fluid, bone marrow and sputum culture, positive bacteria are Enterococcus, and further identified as Enterococcus faecium. 21 cases (52.5%) were cured, 7 cases (17.5%) were cured, and 12 cases died of disease (30.0%) after combined antibacterial therapy and other comprehensive treatment. Analysis, that caused by Enterococcus faecium, swine, blood, sputum, cerebrospinal fluid were isolated from the same pathogen, has an important epidemiological significance; the disease has a short incubation period, the incidence of sudden, high mortality, should be To attach great importance