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目的调查分析河北省人感染猪链球菌病的流行病学特征,为制定防控措施提供依据。方法通过对病人病史的问询、养殖现场外环境的采样、病人患病期血液检测结果及脑脊液培养分离猪链球菌等方法进行调查。结果病人由破损伤口直接感染细菌,临床症状表现为意识障碍,伴有发热、恶心、呕吐,大小便失禁,运动功能紊乱,血液检测及脑脊液培养均为阳性。病人发病前有流行病学接触史。结论该病例为河北省首例人感染猪链球菌病病例,切断传染源和传播途径是控制疾病的有效措施。应加强人畜共患疾病的健康教育和宣传,提高自我防护意识。
Objective To investigate and analyze the epidemiological characteristics of human streptococcus suis infection in Hebei Province and provide the basis for the development of prevention and control measures. Methods A survey was conducted on the patient’s medical history, the sampling of the environment outside the farm, the blood test results during the patient’s illness, and the isolation of S. suis from cerebrospinal fluid. Results The patient was directly infected with the bacteria from the damaged wound. The clinical symptoms manifested as disturbance of consciousness, accompanied by fever, nausea, vomiting, incontinence, motor dysfunction, blood tests and cerebrospinal fluid culture. Epidemiological exposure before the onset of the patient history. Conclusion The case was the first human case of swine streptococcal infection in Hebei Province. It is an effective measure to control the disease by cutting off the source of infection and transmitting the disease. Health education and publicity for zoonotic diseases should be strengthened to raise awareness of self-protection.