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报道:患者男,58岁。因寒颤、高热伴尿频、尿痛2天于1988年10月15日入院。体温39℃、脉搏92次/分、呼吸24次/分、血压12/8 kPa,咽部充血、心肺无异常发现、双肾区叩痛、白细胞14.6×10~9/L、中性0.96、淋巴0.40、小便蛋白(++)、红细胞(+)、脓球(++),血和尿分别培养出四联球菌,对四环素、氨苄青霉素、房大霉素、氯霉素敏感。诊断四联球菌败血症、急性肾盂肾炎。经用氨苄青霉素及房大霉素治疗10天痊愈出院。四联球菌毒力极微,存在于正常人口腔及呼吸道,多在有原发疾病使机体抵抗力降低的基础上混合感染,故在临床上对于该病的致病性应有足够的重视。
Report: Patient male, 58 years old. Due to shivering, fever with frequent urination, dysuria 2 days in October 15, 1988 admission. Body temperature 39 ℃, pulse 92 beats / min, respiration 24 beats / min, blood pressure 12/8 kPa, pharyngeal hyperemia, no abnormalities in heart and lung, percussion pain in the kidneys area, white blood cells 14.6 × 10 ~ 9 / Lymph 0.40, urinary protein (++), erythrocytes (+), pus ball (++), blood and urine were cultured tetradococcus, tetracycline, ampicillin, terramycin, chloramphenicol sensitivity. Diagnosis of Tetragenococcus sepsis, acute pyelonephritis. After treatment with ampicillin and teicentericum for 10 days cured. Tetragenococcus minimal toxicity exists in the normal oral and respiratory tract, and more in the primary disease to reduce the body’s resistance to mixed infection, so in the clinical pathogenicity of the disease should have enough attention.