After a pig's meal, the woman developed critical meningitis, requiring hospitalization on high-dose oxygen

After eating pork yolk for a day, the patient develops high fever, constant chills, accompanied by loose stools, nausea, vomiting of food, dull headache, general fatigue. And the doctor warning about the same case.

The 59-year-old female patient in Hanoi was transferred to the ICU, National Hospital of Tropical Diseases on August 2 on oxygen mask 15l/ph. Patients with strenuous breathing must switch to high-flow oxygen (HFNC).

Every 4 days, the patient and his family ate pork yolk (not soup), the people who ate it together did not have the same symptoms.

After eating pork yolk for a day, the patient develops high fever, continuous chills, accompanied by loose stools 5 times / day, nausea, vomiting food, dull headache, general body pain.

On the 2nd day, the patient appeared dark purple patches on the skin of the face area and was brought to a medical facility by his family in a state of lethargy, low blood pressure, systemic purple skin lesions, severe metabolic acidosis blood gas tests.

Here, patients receive first aid, intensive care, and high doses of antibiotics. With clinical symptoms, multiple organ failure and CSF puncture showed increased protein - 2.58 g/l, gram-positive cocci doubled, blood culture to Streptococcus suis.

The patient is given oxygen frame/mask, continuous dialysis, blood culture, cerebrospinal fluid to S. suis (swine streptococcus).

Doctors diagnosed the patient with septic shock, sepsis with S. suis meningitis, respiratory failure, and a slow improvement in the condition. The patient was transferred to the ICU, National Hospital for Tropical Diseases. The patient's condition has improved.

This is a typical case of swine streptococcal meningitis after an epidemiological factor of exposure to sick pigs, death (during the slaughter of sick pigs) and eating pork containing bacteria.

According to family members, the patient had previously eaten pig yolk bought at the market. One day after eating, the patient develops fever of unknown temperature with headache, severe fatigue.

The patient is taken to the hospital for pain treatment. When a severe headache, struggling, irritability appears, the patient is taken to the Center for Tropical Diseases. Results of cerebrospinal fluid culture detect swine streptococcus Streptococcus suis.

According to Assoc. TS. Do Duy Cuong, Director of the Center for Tropical Diseases, swine streptococcus is a disease transmitted from pigs to humans. Most cases are related to slaughter, soup or undercooked pork foods.

Some restaurants now use pig secretions mixed into geese secretions, ducks, goats ... for sale, so when the test results of Streptococcus suis swine streptococcus suis bacteria after eating short soup, duck ...

In addition, there are some cases where patients who do not eat soup, do not slaughter pigs still get sick because they can eat infected pork, but processed them alive, come into contact with infected pigs through lesions, abrasions on the skin when processing food.

People infected with swine streptococcal disease include 3 types: sepsis, purulent meningitis or a combination of both. The incubation period of swine streptococcus in humans ranges from a few hours to 4 or 5 days, depending on the location of each person.

When infected with swine streptococcus, patients present with hot fever, cold fever, nausea, vomiting, possibly diarrhea ... These symptoms make many people mistaken for digestive disorders, common food poisoning.

In severe cases, patients present with tinnitus, deafness, neck stiffness, lethargy, lethargy, necrotic rashes on the skin due to sepsis, multi-organ failure, coagulopathy, septic shock and cannot pass quickly if not detected and treated promptly.

Each year, Bach Mai Hospital Center for Tropical Diseases receives and treats dozens of cases of sepsis, meningitis caused by swine streptococcus hospitalized in severe condition with a rate of inability to survive up to 20-30%. If the patient's life is saved, the incidence of sequelae is also very high, commonly irreversible deafness.

According to doctors' recommendations, swine streptococcal bacteria can be completely suppressed when food is cooked thoroughly. Currently, this disease does not have a vaccine, so to prevent the disease, people should not slaughter sick dead pigs; Gloves and protective equipment should be worn when dealing with recycled or raw pork, and hands should be washed after meat processing.

People also need to give up unhealthy eating habits such as soup (including pig soup and goat, geese and duck soup). When there are symptoms of the disease, it is necessary to immediately go to medical facilities for timely detection and treatment.

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