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Seroprevalence of Hepatitis A virus and Hepatitis E virus in patients presenting with acute viral hepatitis: A retrospective study of 2-years at tertiary care Hospital, Himachal Pradesh in Northern India 急性病毒性肝炎患者的甲型肝炎病毒和戊型肝炎病毒血清流行率:印度北部喜马偕尔邦三级医院为期两年的回顾性研究
Pub Date : 2024-05-15 DOI: 10.18231/j.ijmr.2024.007
Anuradha Sood, Ankita Sharma, Narender Kumar
: Hepatitis-A virus and Hepatitis-E virus are spread enterically, resulting in acute viral hepatitis (AVH) in developing countries. Fecal-oral transmitted hepatitis cause major health problems in our country. The aim of present study is to determine the seroprevalence of HAV and HEV in AVH patients attending the tertiary care hospital at Dr. Rajendra Prasad Govt. Medical College Kangra at Tanda, Himachal Pradesh (DRPGMC). Insufficient data makes it difficult to determine an accurate prevalence of illness in this region of India.: The Viral Research and Diagnostic Laboratory (VRDL), in the Department of Microbiology at DRPGMC Tanda, Himachal Pradesh, consolidated retrospective data of 2-years duration. The study population included 784 serum samples received from outdoor and indoor patients were considered in the study.: Of the 784 serum samples that were chosen for our study, HAV and HEV reactive patients showed a seroprevalence of 11.20% and 1.80% respectively. During two years of the study, the co-infection rate of HAV and HEV in patients with acute viral hepatitis was 0.5%. Compared to females (31.80% and 42%), males reported higher seroprevalence of HAV (68.10%) and HEV (57.10%). Further data shows that HAV infection was observed in all age groups and the highest prevalence was reported in the age range from 11 to 20 years. The HEV infection was not observed in the pediatric age groups, it was only observed in adults. Maximum prevalence of HEV was reported in the age group of 21-30 years. The highest number of reactive cases was recorded in the month of August and September.: We found that the prevalence of HAV is significantly higher than that of HEV during two years of study period. In this study, we observed that HAV is more predominant in males as compare to females.HEV infections were only observed in adults.
:甲型肝炎病毒和戊型肝炎病毒通过肠道传播,在发展中国家导致急性病毒性肝炎(AVH)。粪口传播肝炎在我国造成了严重的健康问题。本研究旨在确定在喜马偕尔邦坦达的拉金德拉-普拉萨德博士政府医学院康拉分院(DRPGMC)三级护理医院就诊的 AVH 患者中 HAV 和 HEV 的血清流行率。由于数据不足,很难确定印度这一地区的准确发病率。 喜马偕尔邦坦达 DRPGMC 微生物学系的病毒研究与诊断实验室(VRDL)整合了为期两年的回顾性数据。研究对象包括从室外和室内患者处采集的 784 份血清样本:在我们选取的 784 份血清样本中,HAV 和 HEV 反应患者的血清阳性率分别为 11.20% 和 1.80%。在两年的研究中,急性病毒性肝炎患者的 HAV 和 HEV 合并感染率为 0.5%。与女性(31.80% 和 42%)相比,男性的 HAV(68.10%)和 HEV(57.10%)血清阳性率更高。进一步的数据显示,所有年龄组均可观察到 HAV 感染,11 至 20 岁年龄组的感染率最高。在儿科年龄组中未发现 HEV 感染,仅在成人中发现。21-30 岁年龄组的 HEV 感染率最高。8月和9月的反应性病例数最多:我们发现,在两年的研究期间,HAV 的流行率明显高于 HEV。在这项研究中,我们发现与女性相比,男性更容易感染 HAV。
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引用次数: 0
A prospective study on Rickettsia infections in Central India 印度中部立克次体感染的前瞻性研究
Pub Date : 2024-05-15 DOI: 10.18231/j.ijmr.2024.006
D. Taraphdar, R. Hawaldar, S. Sodani
Rickettsial infections are under-reported in India. The actual disease burden has been underestimated as non-specific serological tests are mostly used to diagnose these infections. The aim of this study was the detection of Rickettsia infections in clinical specimens by Real-time Polymerase Chain Reaction.A study was established to analyse blood samples taken from pyrexia of unknown origin (PUO) or undifferentiated fever cases. A total of 69 such patients, were referred/walked-in to our diagnostic centre, Indore, India between October 2021 and May 2023. The blood samples were collected in EDTA lavender (purple) top tube.Of the tested samples, 14 patients (20.3%) were positive for Rickettsia infection.Gender wise distribution revealed higher incidence (57%) of Rickettsial infections in male patients. Children were majorly infected (50% of cases); multiple infection was also noted in them, though severity was not high. Severe clinical manifestation including hospitalization was also noted in some patients. Few reports are available from India on molecular diagnosis of Rickettsia infection. Early-stage molecular diagnosis will help to stave off and prevent serious complications. 
立克次体感染在印度报告不足。由于大多采用非特异性血清学检测来诊断这些感染,因此实际的疾病负担被低估了。本研究的目的是通过实时聚合酶链式反应检测临床样本中的立克次体感染。研究旨在分析不明原因热病(PUO)或未分化热病例的血液样本。在 2021 年 10 月至 2023 年 5 月期间,共有 69 名此类患者被转诊到印度印多尔的诊断中心。在检测的样本中,14 名患者(20.3%)的立克次体感染呈阳性。儿童是感染的主要人群(占病例的 50%);虽然严重程度不高,但他们也有多重感染。一些患者还出现了严重的临床表现,包括住院治疗。印度关于立克次体感染分子诊断的报告很少。早期分子诊断有助于避免和预防严重的并发症。
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引用次数: 0
Clinicomycological profile of dermatophytosis in a tertiary care teaching hospital, Vadodara Vadodara三级护理教学医院皮肤真菌病的临床菌学分析
Pub Date : 2023-10-15 DOI: 10.18231/j.ijmr.2023.027
Srujana Prabhala, Tanuja Javadekar, Ashutosh Pal
Dermatophytosis is the most common type of cutaneous fungal infection seen in man infecting the superficial keratinized layer of the skin, hair and nails. The aim of the study is to isolate and identify the dermatophytes from clinically suspected cases of dermatophytosis, to determine the frequency of occurrence of various species of dermatophytes, to know the prevalence of age and sex of dermatophytosis in the locality. : The present study was carried out in the Department of Microbiology, Medical College and SSG Hospital, Vadodara. A total of 150 clinically diagnosed cases of dermatophytosis were taken for this study. Skin, hair and nail samples were aseptically collected and were subjected to KOH mount examination and culture. Differentiation of the dermatophyte species was performed based on the macroscopic and microscopic examination of culture and physiological test including urease test. : Tinea corporis (41.3%) was the commonest clinical type with a male to female ratio of 1.05:1. Out of these samples, dermatophytes were isolated in 108 cases with the overall isolation rate of 72%. Seven species of dermatophytes were isolated. 53 (49.1%) was the commonest species followed by 22(20.4%). : Identifying dermatophyte species and knowledge of their host preference and ecology play an important role in treating the patient. Correct and efficient laboratory methods for diagnosis of dermatophytosis is the need of the hour to provide correct and timely treatment and prevent the further spread and chronicity of the disease.
皮肤真菌病是人类最常见的皮肤真菌感染类型,感染皮肤、头发和指甲的表面角质化层。本研究的目的是从临床疑似皮肤癣病例中分离鉴定皮肤癣菌,确定各种皮肤癣菌的发生频率,了解当地皮肤癣菌的年龄和性别患病率。本研究在Vadodara医学院微生物学系和SSG医院进行。本研究共选取150例临床诊断的皮肤癣病例。无菌采集皮肤、毛发和指甲标本,进行KOH挂载检查和培养。通过培养物的宏观和微观检查以及脲酶试验等生理试验对皮癣菌进行了种类鉴定。:体癣(41.3%)是最常见的临床类型,男女比例为1.05:1。其中,分离出108例皮癣菌,总分离率为72%。分离得到7种皮癣菌。最常见的种有53种(49.1%),其次是22种(20.4%)。识别皮肤真菌种类,了解其宿主偏好和生态学在治疗患者中起着重要作用。正确和有效的诊断皮肤癣的实验室方法是当前需要提供正确和及时的治疗,防止疾病的进一步传播和慢性化。
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引用次数: 0
RNAi: antifungal therapy against Invasive pulmonary aspergillosis (IPA) in humans RNAi:人类侵袭性肺曲霉病(IPA)的抗真菌治疗
Pub Date : 2023-10-15 DOI: 10.18231/j.ijmr.2023.022
Maneesh Kumar, Roshan Kamal Topno, Ratnesh Kumar
Noncoding RNAs, known as miRNAs, regulate gene expression. Most miRNAs are converted from DNA sequences into primary miRNAs, processed into precursors, and matured. Survival or virulence of species is targeted by RNAi antifungal treatment. Silencing these genes can reduce fungal proliferation and pathogenicity, thereby improving therapy. RNAi can be used to treat ; however, most research has been conducted in controlled laboratory or animal studies. The immune system neutralizes spores, so not everyone gets sick. Aspergillosis can range from moderate allergic reactions to invasive, life-threatening disease. MiRNAs have been studied in numerous diseases, but their role in immune responses to pulmonary and systemic fungal infections is still being discovered. During disease progression, fungal pathogens can alter signaling and expression of miRNAs in the genetic network. Future investigations on the biological purpose of miRNAs, previously assumed to be a consequence of miRNA synthesis, will illuminate the regulatory function of the miRNA network in plant innate immunity. MiRNAs and their intended targets present opportunities for novel pathogen-fighting strategies and technologies.
非编码rna,被称为mirna,调节基因表达。大多数mirna从DNA序列转化为初级mirna,加工成前体,成熟。RNAi抗真菌治疗的目标是物种的生存或毒力。沉默这些基因可以减少真菌的增殖和致病性,从而改善治疗。RNAi可用于治疗;然而,大多数研究都是在实验室或动物实验中进行的。免疫系统会中和孢子,所以不是每个人都会生病。曲霉病的范围从中度过敏反应到侵袭性、危及生命的疾病。mirna已经在许多疾病中得到了研究,但它们在肺部和全身真菌感染的免疫反应中的作用仍未被发现。在疾病进展过程中,真菌病原体可以改变遗传网络中mirna的信号传导和表达。miRNA先前被认为是miRNA合成的结果,未来对其生物学目的的研究将阐明miRNA网络在植物先天免疫中的调节功能。mirna及其预期靶点为新的病原体对抗策略和技术提供了机会。
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引用次数: 0
STP design calculation for 100 KLD SBR (Sequential batch reactor) 100 KLD序批式反应器STP设计计算
Pub Date : 2023-10-15 DOI: 10.18231/j.ijmr.2023.024
Ranadive Ananth Govindaraju, Gayathri Parivallal, Sumitha Devarajan
Sewage treatment aims to remove the contaminants from different municipal sources in order to prevent pollution of aquatic bodies. There are numerous sewage treatment systems available in the market, including ASP (Activated Sludge Process), MBBR (Moving Bed Bioreactor), MBR (Membrane Bioreactor), etc. One of them, the SBR (Sequential Batch Reactor), is a remarkable technology that may be used in large-scale treatment plants due to its simple maintenance. Sequential batch reactors (SBR) are reactors or basins in which the biological treatment of waste water is carried out in a series of four steps, namely filling, aeration, settling (clarification) and decanting. One of the newest solutions for treating municipal sewage is the sequential batch reactor (SBR). In this research designing study, a thorough design computation for a sewage treatment system with a 100 KLD capacity was elucidated. In this study, two important aspects of design calculation such as units available in the SBR scheme and Equipment’s available in the SBR scheme. Thus, the simple calculation makes it easier for any design engineers to construct their sewage treatment plant or system.
污水处理的目的是去除不同城市来源的污染物,以防止对水体的污染。市场上有许多污水处理系统,包括ASP(活性污泥法)、MBBR(移动床生物反应器)、MBR(膜生物反应器)等。其中SBR(序批式反应器)是一项引人注目的技术,由于其维护简单,可用于大型处理厂。序批式反应器(SBR)是一种反应器或池,在其中废水的生物处理是通过一系列的四个步骤进行的,即填充、曝气、沉淀(澄清)和倒渣。序批式反应器(SBR)是处理城市污水的最新解决方案之一。在本设计研究中,详细阐述了100 KLD容量污水处理系统的设计计算。在本研究中,设计计算的两个重要方面,即SBR方案的可用单元和SBR方案的可用设备。因此,简单的计算使任何设计工程师更容易建造他们的污水处理厂或系统。
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引用次数: 0
A rare first case of prosthetic knee joint infection by Citrobacter koseri 罕见的第一例假膝关节感染克氏柠檬酸杆菌
Pub Date : 2023-10-15 DOI: 10.18231/j.ijmr.2023.030
Yusuf Kagzi, Mustafa Siraj Bohra, Alifiya Kagzi, Umer Rizwan
Citrobacter generally colonizes the gastrointestinal and urogenital tracts of humans, but musculoskeletal infection by Citrobacter in the elderly is extremely rare. To our knowledge, less than 15 cases of causing musculoskeletal infection have been reported in the literature. In the last few years, there has been a considerable increase in the incidence of prosthetic knee joint infection in the United States, with a higher risk of infection in the first two years following surgery. Although gram-positive bacteria like Staphylococcus and Streptococci are more common cause of PJI, gram-negative bacteria can also be found in infected joints. We report the first case of PJI in the left knee due to in an 82-year-old adult two years after bilateral knee arthroplasty. This case report intends to educate and raise awareness for causing PJI as a long term post-op complication even in healthy individuals. We searched articles on Pubmed and Medline for PJI and citrobacter infection. We report clinically and microbiologically confirmed in a synovial fluid sample of the left knee joint. should be considered as a possible pathogen for PJI in long term setting even in an otherwise healthy individual.
柠檬酸杆菌通常定植于人类的胃肠道和泌尿生殖道,但在老年人中由柠檬酸杆菌引起的肌肉骨骼感染极为罕见。据我们所知,文献中报道的引起肌肉骨骼感染的病例不到15例。在过去的几年里,在美国,假体膝关节感染的发生率有了相当大的增加,在手术后的头两年感染的风险更高。虽然革兰氏阳性菌如葡萄球菌和链球菌是PJI的常见病因,但在受感染的关节中也可以发现革兰氏阴性菌。我们报告的第一例PJI在左膝由于在一个82岁的成年人两年后双侧膝关节置换术。本病例报告旨在教育和提高对PJI作为长期术后并发症的认识,即使在健康个体中也是如此。我们在Pubmed和Medline上检索了PJI和柠檬酸杆菌感染的文章。我们报告临床和微生物学证实在左膝关节滑液样本。即使在其他方面健康的个体中,也应长期将其视为PJI的可能病原体。
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引用次数: 0
Study of the prevalence and antibiotics susceptibility patterns in clinically significant isolates among urine sample in a tertiary care centre 某三级保健中心尿液样本中临床重要分离株的流行率和抗生素敏感性模式研究
Pub Date : 2023-10-15 DOI: 10.18231/j.ijmr.2023.029
Aakash Kapoor Pal
Urinary tract infections (UTIs) are prevalent bacterial infections. Gram-negative bacilli are frequently isolated as the causative pathogens in UTIs, and antibiotics are commonly used to treat them. However, the overuse of antibiotics has led to the development of resistance in some uropathogens. : To find the prevalence and antimicrobial susceptibility patterns in clinically significant isolates among urine sample in a tertiary care centre. : Fresh mid-stream urine samples were collected aseptically in sterile containers. The samples were inoculated on 5% sheep blood agar and MacConkey agar. The isolates were identified to the species level using biochemical tests/Vitek 2 compact. : A total of 5847 specimens were examined for significant bacteriuria, out of which 1160 showed bacterial growth in urine cultures. The most commonly isolated pathogens were (57.67%) and (18.63%). The antibiotics aminoglycosides (84%), carbapenems (79%), and nitrofurantoin (63%) displayed a high rate of sensitivity against these pathogens. : Due to the variability of drug sensitivity among bacterial pathogens over time, regular surveillance and monitoring are essential to provide physicians with updated information for the most effective empirical treatment of UTIs.
尿路感染是一种常见的细菌感染。革兰氏阴性杆菌经常被分离出来作为尿路感染的致病菌,通常使用抗生素治疗。然而,抗生素的过度使用已经导致一些泌尿系统病原体产生耐药性。目的:在某三级医疗中心的尿液样本中发现具有临床意义的分离株的流行率和抗菌药物敏感性模式。新鲜中游尿液标本在无菌容器中无菌采集。样品分别接种于5%羊血琼脂和麦康基琼脂上。采用生化试验/Vitek 2 compact对分离菌株进行种级鉴定。共检查了5847个标本,发现有明显的细菌尿,其中1160个标本在尿液培养中发现细菌生长。最常见的分离病原菌分别为(57.67%)和(18.63%)。抗生素氨基糖苷类(84%)、碳青霉烯类(79%)和呋喃妥因类(63%)对这些病原体表现出很高的敏感性。由于细菌病原体的药物敏感性随时间的变化,定期监测和监测是必要的,为医生提供最新的信息,以最有效地治疗尿路感染。
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引用次数: 0
Cardiac implantable electronic device infection: Microbiology and antibiotic prophylaxis 心脏植入式电子装置感染:微生物学和抗生素预防
Pub Date : 2023-10-15 DOI: 10.18231/j.ijmr.2023.023
Shraddha Shivling Paralkar, Deepa Godbole, Swapnil Mundhe
Cardiovascular implantable electronic devices (CIED) improve quality of life of patients with cardiac arrhythmias and also improves chances of survival. CIEDs, however it may cause complications. To avoid these complications surgical prophylaxis in CIED insertion is required to avoid infection. Due to the rise in antimicrobial resistance the use of antimicrobial agents should be rational and under control. To prevent resistance of antibiotics their use and duration of therapy should be monitored. The high-end and restricted antibiotics should be used only if organisms grow in cultures or if suggested by infectious disease specialists. This review focuses on empirical antibiotics used as prophylaxis. The purpose of this document is to outline the antimicrobial options which can be used as an empirical prophylactic agent in CIED infections.
心血管植入式电子装置(CIED)改善了心律失常患者的生活质量,也提高了生存机会。然而,cied可能会引起并发症。为了避免这些并发症,在插入CIED时需要手术预防以避免感染。由于抗菌素耐药性的上升,抗菌素的使用应合理和控制。为防止抗生素耐药,应监测抗生素的使用和治疗时间。只有当微生物在培养物中生长或传染病专家建议时,才应使用高端和限制性抗生素。这篇综述的重点是经验抗生素用于预防。本文件的目的是概述抗菌药物的选择,可作为经验预防剂在CIED感染。
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引用次数: 0
Wood rotting polyporales from the biodiversity reserves within the Indian subtropical habitat 来自印度亚热带生物多样性保护区的腐木多孢子虫
Pub Date : 2023-10-15 DOI: 10.18231/j.ijmr.2023.025
Zohmangaiha Chawngthu, Lalnun Tluanga, John Zothanzama, V L Thachunglura, Benjamin Lalbiakmawia, Laltanpuia Renthlei
Identification of fungi to species level is paramount in both basic and applied applications in scientific research. A diverse group of fungi play a crucial role in ecosystem functioning and significantly contribute to the biodiversity of various ecosystems. In the northeastern state of Mizoram, India, the study of wood-inhabiting fungi holds immense potential for uncovering the region's fungal diversity and ecological interactions. The present study investigated the phylogenetic relationships and taxonomic identities of different fungal species of polypores isolated from diverse parts of Mizoram, India. Fungal species were collected and identified using a macro and micro-morphological characteristics and molecular approaches. Nuclear ribosomal DNA sequences, along with the internal transcribed spacers (ITS-1 and ITS-2), and the 5.8S gene area, were used to identified the collected samples. 23 fungal isolates of polypores were selected for molecular phylogenetic analysis. The 23 species were identified to the species level based on the fungal sequences with known identities in GenBank. The combined approach both morphological and molecular techniques proposed in the study holds the potential to address these challenges and provide a more efficient and accurate way of understanding fungal distribution.
真菌在物种水平上的鉴定在科学研究的基础和应用中都是至关重要的。真菌在生态系统功能中起着至关重要的作用,并对各种生态系统的生物多样性做出了重大贡献。在印度东北部的米佐拉姆邦,对栖息在木头上的真菌的研究对于揭示该地区的真菌多样性和生态相互作用具有巨大的潜力。本文研究了印度米佐拉姆邦不同地区分离的多孔真菌的系统发育关系和分类特征。采用宏观、微观形态特征和分子方法对真菌种类进行了收集和鉴定。利用核糖体DNA序列、内部转录间隔序列(ITS-1和ITS-2)和5.8S基因区对收集的样品进行鉴定。选取23株多孔真菌进行分子系统发育分析。根据GenBank中已知的真菌序列,对23种真菌进行了种级鉴定。该研究中提出的形态学和分子技术相结合的方法有可能解决这些挑战,并提供一种更有效和准确的了解真菌分布的方法。
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引用次数: 0
Genotyping of cryptosporidium species in cases of irritable bowel syndrome: A case control study from a tertiary care center 肠易激综合征病例中隐孢子虫物种的基因分型:来自三级保健中心的病例对照研究
Pub Date : 2023-10-15 DOI: 10.18231/j.ijmr.2023.028
Varun Bajaj, Mithu Banerjee, Sudhir Dubey, K S Rajmohan, Syed Asif Hashmi, Surabhi Bajaj
Irritable bowel syndrome (IBS) is functional bowel disorder characterized by abdominal pain or discomfort and altered bowel habits in the absence of detectable structural abnormalities. Protozoan cysts are commonly found in the stool samples of patients with IBS and a rising body of evidence suggests a direct causal relationship. Cryptosporidium infection can be a potential candidate for IBS. We studied prevalence, association, and genotype of cryptosporidium at a tertiary care centre. Using a case-control design, a total of 100 cases and 100 controls were selected between 2016 and 2017. Fresh stool samples were collected and processed for microscopic examination. Positive samples were subjected to PCR RFLP for speciation and results analysed for Odd’s ratio, relative risk and relationship between variables. There was a high male preponderance (m: f=9:1). Most patients belonged to the middle age group (34.8-42.4 years). Amongst the clinical subtype IBS with diarrhoea (IBS-D) was the most common subtype (63%). Odd’s ratio for having IBS was 57.5 with cryptosporidium with a relative risk of 2.09. Adjusted Odd’s ratio for age was 1.014 suggesting a linear correlation (r value=0.07) with age. Our study shows a significant risk of developing IBS with cryptosporidium infection. The authors recommend studies with larger population samples both within the northern regions of India and across the country to determine prevalence, speciation of cryptosporidium and its relationship to IBS.
肠易激综合征(IBS)是一种功能性肠道疾病,在没有可检测到的结构异常的情况下,以腹痛或不适和排便习惯改变为特征。原生动物囊肿常见于肠易激综合征患者的粪便样本中,越来越多的证据表明两者之间存在直接的因果关系。隐孢子虫感染可能是肠易激综合征的潜在候选者。我们研究了三级保健中心隐孢子虫的患病率、相关性和基因型。采用病例对照设计,在2016年至2017年期间共选择100例病例和100例对照。收集新鲜粪便标本并进行显微检查。对阳性标本进行物种形成的PCR RFLP分析,并对结果进行Odd’s ratio、相对风险和变量间关系分析。雄性有较高的优势(m: f=9:1)。患者多为中年人(34.8 ~ 42.4岁)。在IBS伴腹泻的临床亚型中(IBS- d)是最常见的亚型(63%)。患肠易激综合征的Odd比值为57.5,隐孢子虫的相对危险度为2.09。年龄校正Odd’s比值为1.014,与年龄呈线性相关(r值=0.07)。我们的研究显示隐孢子虫感染有显著的肠易激综合征风险。作者建议在印度北部地区和全国范围内进行更大规模的人口样本研究,以确定隐孢子虫的流行程度、物种形成及其与肠易症候群的关系。
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引用次数: 0
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Indian Journal of Microbiology Research
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