The "milking goat" in Xi 'an street is still there. What are the consequences of drinking this milk?

Brucella may exist in freshly squeezed milk of domestic animals, and the clinical manifestations of this disease are varied. As far as individual patients are concerned, their clinical manifestations can be simple, showing only local abscess, or complex, showing that several organs and systems are involved at the same time. Brucellosis of sheep type and pig type is more serious, and the symptoms of cattle type are lighter, and some cases may not have fever. ? A 2-year-old girl in Xi 'an had a high fever and convulsions because she drank the goat's milk bought by her grandmother in the street, and was finally diagnosed with brucellosis. In the past two years, such cases have occurred from time to time, and doctors have warned that goat milk squeezed in the street is not suitable for drinking.

A 2-year-old child had a fever for 4 days and broke out in a rash. Parents thought it was a cold. The child came to see a doctor on August 24th. At that time, I had a fever for 4 days, a high fever of 39 degrees, a rash, a lung infection but no cough. I think it's strange. ? On September 3rd, Professor Wei Hou from the Pediatric Respiratory and Asthma Ward of the Second Affiliated Hospital of Xi Jiaotong University said that after repeated exploration, the child was found to have brucellosis.

According to the parents, the child developed fever symptoms after going out to play, and soon a rash appeared on his body. After seeing a doctor in the nearest hospital, the upper respiratory tract infection was diagnosed and treated symptomatically, but the effect was not good and there was still intermittent high fever. Professor Wei Hou inquired about the child's medical history carefully in the outpatient department, and according to his rich clinical experience, he judged that the child had a fever for many days without coughing, but chest X-ray showed obvious inflammatory lesions, which was different from the usual respiratory infection. He suggested hospitalization.

At first, parents hesitated, thinking that it was a common cold and fever, and didn't want to be hospitalized, but under the patient persuasion of Professor Wei Hou, they agreed to let their children be hospitalized for examination. After the child was admitted to the hospital, although symptomatic treatment was given, his condition developed rapidly. During hospitalization, he suddenly had febrile convulsions and his condition was stable after being rescued.

The doctor found that goat milk in the street was the cause. The child used to be healthy, and his family had no history of febrile convulsions. What causes the child's condition to progress rapidly? Why can't you control it after giving strong antibiotics? After discussion and analysis, the doctor finally found the clues of fever and convulsions after repeatedly and carefully asking about the family history.

It turns out that there are often vendors near the neighborhood where children live, leading sheep to squeeze milk for sale. Grandma saw a lot of people buying it, and heard that freshly squeezed goat milk was fresh and nutritious and easy to digest, so she bought it for her children. Although it was cooked, it still didn't stop the bacteria. The final test results showed that the blood culture was positive for brucellosis, and the final diagnosis was? Brucellosis? , abbreviation? Brucellosis? .

Parents were puzzled when they learned that their child's illness was related to fresh goat milk. What is that? What is the relationship between brucellosis and fresh goat milk?

Brucellosis is a zoonotic infectious disease caused by Brucella infection, and it is a Class B infectious disease stipulated in China's Law on the Prevention and Control of Infectious Diseases. Sick sheep, sick cows and other infected animals are the main sources of brucellosis. The disease used to be more common in pastoral areas, and it was high in spring and summer every year, which was related to the calving season of animals.

Brucellosis cases are transmitted by drinking goat's milk, which is usually caused by pulling sheep and squeezing goat's milk now, but drinking milk can also be transmitted. ? Wei Hou said that Brucella has strong viability in the external environment, and can survive for weeks to months in water, dry soil, animal fur and dairy products. Brucella can spread through damaged skin mucosa, digestive tract and respiratory tract. Acute cases are characterized by fever, fatigue, hyperhidrosis, muscle and joint pain, and enlargement of liver, spleen and lymph nodes. It does great harm to every system of human body. Children's early symptoms are atypical, and they may only have fever symptoms, which are easily ignored by parents. As long as the treatment system is standardized, most of them can be completely cured. If not treated in time or according to the course of treatment, it is easy to turn into chronic diseases. According to reports, the girl was discharged from the hospital on September 2. Although the treatment effect is good, brucellosis has caused toxic encephalopathy, and she still needs to take medicine for a long time to go home. In addition, the child's grandfather also drank freshly squeezed goat milk. At present, there are no symptoms, and he is also preparing for relevant tests.

In July this year, the Shaanxi Provincial Center for Disease Control and Prevention issued a reminder that there have been many cases of brucellosis caused by drinking unsterilized goat milk in Shaanxi Province this year. Remind parents again that drinking fresh goat milk is infected? Brucellosis? Risk, don't buy fresh milk from street vendors easily. Only professional pasteurization or ultra-high temperature sterilization can effectively kill Brucella in milk. If a family member or child has a high fever, a history of drinking raw milk, or suspected brucellosis, he should seek medical attention in time and actively check. Once diagnosed, we must be hospitalized in infectious diseases department for standardized treatment to avoid chronic delay of brucellosis.