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Research progress on the mechanism of secondary bacterial infection of influenza virus 流感病毒继发性细菌感染机制的研究进展
Pub Date : 2019-01-01 DOI: 10.4103/cai.cai_3_20
Liu Lin, Xiangyan Zhang
A secondary bacterial infection of the influenza virus in the lungs is a key cause of exacerbation and death. The pathogenesis is characterized by complex interactions between co-infecting pathogens and the host, leading to the destruction of the physical barrier of the airways and the dysregulation of the immune response. This article will review the progress of the mechanism of secondary bacterial infection of influenza virus and provide strategies for preventing the co-infection of influenza virus and bacteria.
肺部流感病毒继发性细菌感染是病情加重和死亡的主要原因。其发病机制的特点是共同感染的病原体与宿主之间复杂的相互作用,导致气道物理屏障的破坏和免疫反应的失调。本文将对流感病毒继发性细菌感染机制的研究进展进行综述,并提出预防流感病毒与细菌共感染的策略。
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引用次数: 0
Swine flu: Common disease with a rare complication 猪流感:有罕见并发症的常见疾病
Pub Date : 2019-01-01 DOI: 10.4103/cai.cai_2_19
Bhavna P Singh
H1N1 pneumonia is one of the most common causes of community-acquired pneumonia in India. It occurs throughout the year without any seasonal variation. The clinical presentation of the disease varies in severity each year and complications associated with it are most unusual. We recently reported a case of recurrent pneumomediastinum associated with H1N1. Here, we want to report another patient who was diagnosed with severe H1N1 pneumonia complicated by a cardiac tamponade. Cardiac tamponade is a life threatening complication of viral pneumonia and needs to addressed immediately. Ours is the first case report with cardiac tamponade associated with H1N1 pneumonia.
H1N1肺炎是印度社区获得性肺炎最常见的原因之一。它全年发生,没有任何季节变化。每年该病的临床表现在严重程度上各不相同,与之相关的并发症是最罕见的。我们最近报告了一例与H1N1相关的复发性纵隔肺炎。在此,我们要报告另一位被诊断为严重H1N1肺炎并伴有心脏填塞的患者。心脏填塞是病毒性肺炎的一种危及生命的并发症,需要立即处理。这是第一例心脏填塞与H1N1肺炎相关的病例报告。
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引用次数: 1
Current information of H9N2 virus zoonotic infection and its emerging pandemic potential: A review H9N2病毒人畜共患感染的最新信息及其新出现的大流行潜力:综述
Pub Date : 2018-07-01 DOI: 10.4103/cai.cai_2_20
Mohit Kamthania, R. Kumari, Sirajuddin Ali, A. Hussain, A. Jha
H9N2 avian influenza viruses cause worldwide infections in animals including humans and show a threat as a pandemic infection. Since 1998 more than 59 cases including one death due to H9N2 infection had been reported worldwide and the majority of confirmed cases were young children. Due to the large host variety, tolerance to both poultry and mammals and widespread gene reassortment, H9N2 viruses played a crucial role in worldwide infection. In this review, we discuss the current worldwide infection of H9N2 avian influenza viruses as well as their host range, pathogenesis, epidemiology, diagnosis, control, and its pandemic potential.
H9N2禽流感病毒在世界范围内引起包括人类在内的动物感染,并显示出大流行感染的威胁。自1998年以来,全世界报告了59例以上的H9N2感染病例,其中包括一例死亡病例,大多数确诊病例为幼儿。由于宿主种类繁多,对家禽和哺乳动物的耐受性以及广泛的基因重组,H9N2病毒在全球感染中起着至关重要的作用。本文综述了目前世界范围内H9N2禽流感病毒的感染情况、宿主范围、发病机制、流行病学、诊断、控制及其大流行潜力。
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引用次数: 0
Necrotizing pneumonia or pulmonary gangrene 坏死性肺炎或肺坏疽
Pub Date : 2018-07-01 DOI: 10.4103/cai.cai_7_18
M. Al-Mendalawi
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引用次数: 0
Host immune responses to mono-infections of Plasmodium spp., hepatitis B virus, and Mycobacterium tuberculosis as evidenced by blood complement 3, complement 5, tumor necrosis factor-α and interleukin-10 血液补体3、补体5、肿瘤坏死因子-α和白细胞介素-10证明宿主对疟原虫、乙型肝炎病毒和结核分枝杆菌单一感染的免疫反应
Pub Date : 2018-01-01 DOI: 10.4103/cai.cai_4_19
M. Olaniyan, T. Ojediran, Ferdinand Uwaifo, Mufutau Azeez
Background: Mono-infections of Plasmodium spp., hepatitis B virus (HBV), and Mycobacterium tuberculosis could elicit activation of complements for innate immunity leading to inflammatory responses. Objective: This work was designed to determine host immune responses to mono-infections of Plasmodium spp., HBV, and M. tuberculosis in blood complement 3 (C3), complement 5 (C5), tumor necrosis factor-alpha (TNF-α), and interleukin 10 (IL-10). Materials and Methods: Of 200 volunteers 66 Plasmodium spp., mono-infected, 28 HBV mono-infected, 12 M. tuberculosis mono-infected and 62 noninfected volunteers were studied as test and controls. ELISA was used to determine HBV, hepatitis C virus (HCV), HIV, plasma C3, C5, IL-10, and TNF-α while Plasmodium spp., was identified by Geimsha thick-film microscopy and M. tuberculosis by immunofluorescence microscopy. Results: The results obtained in the 200 volunteers showed. 69% (138) were infected with one or more of Plasmodium, HBV, HCV, HIV, and M. tuberculosis; 31% (62) were not infected; 16% (32) had co-infections of at least two of Plasmodium, HBV, HCV, HIV, and M. tuberculosis; 33% (66) were Plasmodium spp., mono-infected 14% (28) were HBV mono-infected while 6% (12) were M. tuberculosis. mono-infected. There was a significant increase in the plasma C3 in M. tuberculosis mono-infection compared with Plasmodium mono-infection; HBV mono-infection and control (P < 0.05). There was a significant increase in the plasma C3 in Plasmodium mono-infection compared with HBV mono-infection and control (P < 0.05) There was a significant decrease in the plasma C3 in the results obtained in HBV mono-infection compared with the control (P < 0.05). There was a significant increase in the plasma C5 in M. tuberculosis mono-infection compared with Plasmodium mono-infection; HBV mono-infection and control (P < 0.05). There was a significant increase in the plasma C5 in Plasmodium mono-infection compared with HBV mono-infection (P < 0.05). There was a significant decrease in plasma IL-10 and increased plasma TNF-α in Plasmodium, M. tuberculosis, and HBV mono-infections compared with the control (P < 0.05). There was also a significant increase in plasma TNF-α in M. tuberculosis mono-infection compared with Plasmodium mono-infection (P < 0.05). Conclusion: There was an evidence of host immune responses as evidenced by a significant increase in plasma C3, C5, and TNF-α including a decrease in IL-10 in mono-infections of Plasmodium spp., HBV and M. tuberculosis.
背景:疟原虫、乙型肝炎病毒(HBV)和结核分枝杆菌的单一感染可引起先天免疫补体的激活,从而导致炎症反应。目的:研究宿主对疟原虫、乙型肝炎病毒和结核分枝杆菌单一感染的免疫反应,包括血液补体3 (C3)、补体5 (C5)、肿瘤坏死因子α (TNF-α)和白细胞介素10 (IL-10)。材料与方法:在200名志愿者中,分别以66例单一疟原虫感染、28例单一HBV感染、12例单一结核分枝杆菌感染和62例非感染为对照。ELISA检测HBV、丙型肝炎病毒(HCV)、HIV、血浆C3、C5、IL-10、TNF-α, Geimsha厚膜显微镜检测疟原虫,免疫荧光显微镜检测结核分枝杆菌。结果:在200名志愿者中获得的结果显示。69%(138人)感染了疟原虫、HBV、HCV、HIV和结核分枝杆菌中的一种或多种;未感染的占31%(62例);16%(32人)同时感染了至少两种疟原虫、HBV、HCV、HIV和结核分枝杆菌;66例(33%)为疟原虫感染,28例(14%)为HBV感染,12例(6%)为结核分枝杆菌感染。mono-infected。与单疟原虫感染相比,单结核分枝杆菌感染患者血浆C3明显升高;HBV单感染与对照组比较(P < 0.05)。单疟原虫感染组血浆C3水平较单HBV感染组和对照组显著升高(P < 0.05),单HBV感染组血浆C3水平较对照组显著降低(P < 0.05)。与单疟原虫感染相比,单结核分枝杆菌感染患者血浆C5明显升高;HBV单感染与对照组比较(P < 0.05)。单疟原虫感染患者血浆C5水平明显高于单HBV感染患者(P < 0.05)。血浆IL-10和TNF-α在疟原虫、结核分枝杆菌和HBV单感染组与对照组相比显著降低(P < 0.05)。与单疟原虫感染相比,单结核分枝杆菌感染小鼠血浆TNF-α水平显著升高(P < 0.05)。结论:在疟原虫、HBV和结核分枝杆菌的单一感染中,血浆C3、C5和TNF-α显著升高,包括IL-10降低,证明了宿主免疫反应的证据。
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引用次数: 0
Community-acquired pneumonia: Changing paradigms about mortality 社区获得性肺炎:不断变化的死亡率范式
Pub Date : 2014-09-25 DOI: 10.4103/2225-6482.141744
A. Torres
of antibiotics in the 1950’s.[26,27] In particular, the mortality rates of hospitalized CAP patients in Europe are 5-15% rising to 40% in intensive care unit admitted patients.[2] Moreover, in hospitalized CAP patients mortality increases dramatically in the presence of determined risk factors (comorbidities, immunosuppression, increasing age) up to 20-40%.[28,29] Indeed, it is known that 25-50% of all deaths from pneumonia are reported within the first 30 days after diagnosis with a large proportion of deaths being related to co-morbidities rather than directed due to pneumonia. After 30-day, mortality is still increased in patients with CAP with the majority of deaths being the result of co-morbidities and particularly cardiovascular co-morbidities.[27,30-32]
20世纪50年代的抗生素。[26,27]特别是,欧洲住院CAP患者的死亡率为5-15%,重症监护病房住院患者的死亡率为40%此外,在住院的CAP患者中,由于存在确定的危险因素(合并症、免疫抑制、年龄增长),死亡率急剧增加,最高可达20-40%。[28,29]事实上,已知25-50%的肺炎死亡报告发生在诊断后的头30天内,其中很大一部分死亡与合并症有关,而不是直接由肺炎引起的。30天后,CAP患者的死亡率仍在上升,大多数死亡是由合并症,特别是心血管合并症造成的[27,30-32]。
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引用次数: 6
期刊
Community Acquired Infection
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