[Human and bovine tuberculosis in Latin America: from the studies about virulence to some tools for its control].

Luz Maria López Marín, Fernando Díaz Otero, Antonio Javier Vallecillo Maza, Hugo Esquivel Solís, José Angel Gutiérrez Pabello
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Abstract

Human and bovine tuberculosis (TB) are currently a serious health problem in Latin America. Although the causal agents were discovered more than one century ago, the control of these illnesses is still beyond our reach: human TB accounts for more than one hundred deaths each day in this region, whereas bovine TB represents a public health risk as well as a major economic problem. We herein analyze the situation of human and bovine TB in Latin America, and present studies from our laboratories on bacterial virulence factors, intrinsic resistance features in the host, and the protective response induced in cattle through vaccination or immunization. Finally, the convenience for implementing and/or revising the use of currently available tools for TB control in the region is discussed.

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[拉丁美洲的人类和牛结核病:从对其毒性的研究到一些控制工具]。
人类和牛结核病(TB)目前是拉丁美洲的一个严重卫生问题。尽管致病因子在一个多世纪前就被发现了,但控制这些疾病仍然是我们无法实现的:在这个地区,人类结核病每天造成100多人死亡,而牛结核病不仅是一个重大的经济问题,也是一个公共卫生风险。在此,我们分析了拉丁美洲人类和牛结核病的情况,并介绍了我们实验室对细菌毒力因子、宿主内在耐药性特征以及通过疫苗接种或免疫在牛中诱导的保护性反应的研究。最后,讨论了在该地区实施和/或修订现有结核病控制工具的便利性。
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