J Med Assoc Thai 2001; 84 (10):1502

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Streptococcus suis Infection in Northern Thailand
Fongcom A Mail, Pruksakom S , Mongkol R , Tharavichitkul P , Yoonim N

A ten-case report of
Streptococcus suis
infection was reported in Lamphun, northern
Thailand from 1999 to 2000. Ten patients were admitted to Lampoon Provincial Hospital with a
history of high fever, watery diarrhea, severe myalgia and ecchymosis rashes. The disease pro-
gressed rapidly and all patients died within 24--48 hours after admission from complications such
as disseminated intravascular coagulation (DIC), acute renal failure (ARF) or acute respiratory
distress syndrome (ARDS). Epidemiological data revealed that all cases were healthy men aged
between 40-49, residing in the same geographical area and had a history of raw pork or uncooked
pig's blood consumption prior to their illnesses. Blood culture and genetic investigation (16 s
rRNA polymerase chain reaction with restriction enzyme
Pstl)
confirmed diagnoses of the same
species of
Streptococcus suis
infections.
Key word : Severe
Streptococcus suis
Septicemia, Oral Route of Infection, in Alcoholic Patient

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