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African Trypanosomiasis (African Sleeping Sickness) 非洲锥虫病(非洲昏睡病)
Pub Date : 2018-05-01 DOI: 10.1542/9781610021470-part03-african_trypanosomiasis
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引用次数: 0
Borrelia Infections Other Than Lyme Disease (Relapsing Fever) 莱姆病以外的伯氏螺旋体感染(回归热)
Pub Date : 2018-05-01 DOI: 10.1542/9781610021470-part03-borrelia_infections
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引用次数: 1
Pelvic Inflammatory Disease 盆腔炎
Pub Date : 2018-05-01 DOI: 10.1542/9781610021470-part03-pelvic_inflammatory
Lindsey K. Jennings, D. Krywko
Pelvic inflammatory disease (PID) is defined as an inflammation of the upper genital tract due to an infection in women. The disease affects the uterus, fallopian tubes, and/or ovaries. It is typically an ascending infection, spreading from the lower genital tract. The majority of cases PID are related to a sexually transmitted infection. The diagnosis of PID is primarily clinical and should be suspected in female patients with lower abdominal or pelvic pain and genital tract tenderness. During the patient’s evaluation, other etiologies of pain including ectopic pregnancy should be considered and ruled out. PID is treated with antibiotics to cover the primary pathogens including Neisseria gonorrhoeae and Chlamydia trachomatis. Short-term complications include tubo-ovarian or pelvic abscess. Long-term complications include ectopic pregnancy, infertility, and chronic pelvic pain. Early diagnosis and treatment can potentially prevent complications.
盆腔炎(PID)被定义为女性感染引起的上生殖道炎症。这种疾病影响子宫、输卵管和/或卵巢。它是一种典型的上行感染,从下生殖道传播。大多数PID病例与性传播感染有关。盆腔炎的诊断主要是临床诊断,在出现下腹部或盆腔疼痛和生殖道压痛的女性患者中应予以怀疑。在对患者进行评估时,应考虑并排除其他原因的疼痛,包括异位妊娠。PID用抗生素治疗,以覆盖主要病原体,包括淋病奈瑟菌和沙眼衣原体。短期并发症包括输卵管卵巢或盆腔脓肿。长期并发症包括异位妊娠、不孕症和慢性盆腔疼痛。早期诊断和治疗可以潜在地预防并发症。
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引用次数: 0
Human Metapneumovirus 人类Metapneumovirus
Pub Date : 2018-05-01 DOI: 10.1542/9781610021470-part03-human_metapneumovirus
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引用次数: 0
Onchocerciasis (River Blindness, Filariasis) 盘尾丝虫病(河盲症、丝虫病)
Pub Date : 2018-05-01 DOI: 10.1542/9781610021470-part03-onchocerciasis
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引用次数: 0
Tularemia 图拉里血症
Pub Date : 2018-05-01 DOI: 10.1542/9781610021470-part03-tularemia
Ray W. Rosson
fULAREMIA is a topic of interest to the physician IL in general practice and to various specialists, including internists, surgeons, dermatologists, pediatricians, and even at times gynecologists.1' 23.5,9 It is by name an appropriate subject for consideration in Tulare County, California, from which it derives that name. In 1911 here in Tulare County, McCoy and Chapin isolated the bacterium tularense in ground squirrels which were dead or dying due to a disease affecting them at that time.3 The author has been told by oldtimers of this city that their field work was carried out in the area about 12 or 14 miles south of the town of Tulare. A guess is that McCoy and Chapin were most fortunate in locating a transitory localized epizootic. As a boy here, and sometimes in or near the very spots where they worked, I personally and with bare hands skinned or cut open numerous squirrels and rabbits, and knew dozens of other boys who did. Wearing gloves to do these things would have been ridiculous to us in those days, but I never heard of infection or sickness resulting. In the many years that I have practiced medicine here I have been interested in tularemia. I have always hoped to find a case and have had agglutination tests made in search of it innumerable times. But I had seen no tularemia in Tulare County until in June, 1946, I found a bona fide case of it which was contracted within this county. The disease must be *rare in this place of its scientific birth. Aside from the case I reported, I have been informed through the Tulare County Health Department that it has no record of any tularemia being reported in Tulare County from December 31, 1940, when reliable records on it were started, to the time of writing this, except one in 1944 reported by an osteopath. Of this last-mentioned case there is no record with the County Department (or with the State of California Department of Public Health) concerning the methods used to diagnose nor any follow-up report of the case. In the circumstances, I am inclined to withhold judgment as to its authenticity. Of course, the number of wild rabbits and squirrels in this vicinity has greatly decreased since 1911, but on the other hand the human population has greatly increased. The California State Department of Public Health has kept records on tularemia since 1927, and on June 2, 1928, the disease was made officially reportable in this state. In the period 1927 to 1946 inclusive, there have been only 322 cases reported to the State Department from all the counties of the vast area of California. Of these, 75 were not chargeable to any one locality and included were patients already ill or in whom the disease had been diagnosed before they entered this state, or who were itinerants. Although in Fresno County, which adjoins Tulare County on the north, just six cases have been reported in this period 1927 to 1946 inclusive, in Kern County, bordering us on the south, 48 cases have been reported during that time
fULAREMIA是全科医生和各种专家(包括内科医生、外科医生、皮肤科医生、儿科医生,有时甚至是妇科医生)感兴趣的话题。[23:3.5 . 9]就其名称而言,它是加利福尼亚州图拉雷县研究的合适主题,而图拉雷县的名称也由此而来。1911年,在图拉雷县,McCoy和Chapin从死于当时一种疾病的地松鼠身上分离出了土拉霉素细菌这个城市的老人告诉作者,他们的实地工作是在图拉雷镇以南12或14英里的地区进行的。一种猜测是,McCoy和Chapin非常幸运地发现了一种短暂的地方性动物流行病。当我还是个孩子的时候,有时就在他们工作的地方或附近,我亲自赤手空拳地剥开或切开了许多松鼠和兔子的皮,我也认识很多这样做的男孩。在那个年代,戴手套做这些事对我们来说是荒谬的,但我从未听说过因此而感染或生病。我在这里行医多年,一直对兔热病很感兴趣。我一直希望能找到一个案例,为了寻找它,我做了无数次凝集试验。但我在图拉雷县从未见过土拉雷病,直到1946年6月,我发现了一个真正的病例,这个病例是在这个县感染的。这种疾病在它的科学诞生地一定很罕见。除了我报告的这个病例外,我从图拉雷县卫生局得知,从1940年12月31日开始,直到写这篇文章的时候,图拉雷县没有任何关于图拉雷病的可靠记录,除了1944年一位整骨医生报告的一例外。对于最后提到的这个病例,县部门(或加利福尼亚州公共卫生部)没有关于用于诊断的方法的记录,也没有对该病例的任何后续报告。在这种情况下,我倾向于保留对其真实性的判断。当然,自1911年以来,这附近的野兔和松鼠的数量大大减少,但另一方面,人口却大大增加。自1927年以来,加利福尼亚州公共卫生部一直保存着土拉菌病的记录,并于1928年6月2日在该州正式报告了这种疾病。从1927年到1946年(包括1946年),加州广大地区的所有县向国务院报告的病例只有322例。其中75人不向任何一个地方负责,其中包括已经患病或在进入该州之前已被诊断出疾病的患者,或流动的患者。虽然在弗雷斯诺县,北边毗邻图拉雷县,在1927年到1946年期间只报告了6个病例,包括在我们南边的克恩县,在那段时间报告了48个病例。但州当局怀着特殊的兴趣等了十年,等待图拉雷县的一个病例,直到1937年,一年内报告了两起病例。图拉雷县向国务院报告的病例总共只有6例,其中一例患者曾在密苏里州给兔子剥皮。由于另一个病例是1944年报告的,在大约20年的时间里,只有四个病例,有正式建立的诊断报告,在我看来,可以认为它们可能来自图拉雷县。在1919年弗朗西斯的工作之后,人们知道了土拉氏杆菌确实引起了人类的疾病在对这一主题的研究中,我得到的印象是,近年来Foshay给我们提供了比任何人都多的信息。图拉雷米亚病有时被称为弗朗西斯病、鹿蝇热、兔热、奥哈拉病和其他一些名字土拉arense细菌感染的常见方法,如给野兔或松鼠剥皮或穿衣,蜱虫或马蝇叮咬,动物叮咬和实验室感染,都是通过与许多其他动物生命的无数和各种接触而增加的。这种疾病可通过处理没有已知必要擦伤皮肤的受感染动物,通过摄入受感染和未充分煮熟的肉,以及可能通过吸入而感染。
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引用次数: 0
Epstein-Barr Virus Infections (Infectious Mononucleosis) eb病毒感染(传染性单核细胞增多症)
Pub Date : 2018-05-01 DOI: 10.1542/9781610021470-part03-epstein_barr
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引用次数: 0
Toxocariasis (Visceral Toxocariasis [a Form of Visceral Larva Migrans], Ocular Toxocariasis [a Form of Ocular Larva Migrans]) 弓形虫病(内脏弓形虫病[一种内脏幼虫迁移]、眼部弓形虫病[一种眼部幼虫迁移])
Pub Date : 2018-05-01 DOI: 10.1542/9781610021470-part03-toxocariasis
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引用次数: 0
Lymphocytic Choriomeningitis 淋巴细胞性脉络丛脑膜炎
Pub Date : 2018-05-01 DOI: 10.1542/9781610021470-part03-lymphocytic_choriomeningitis
AGENT: Arenavirus Of many latent viruses present in mice, only LCM naturally infects humans. LCM can easily be transmitted from animals to humans. Virus isolated by Armstrong and Lillie during investigation of a St. Louis Encephalitis outbreak in 1933. RESERVOIR AND INCIDENCE: Worldwide in wild mice (M. musculus). This disease is principally confined to the eastern seaboard and northeastern states in the U.S. Wild mice infect the lab mouse. Mouse and hamster are the only species in which long term, asymptomatic infection is known to exist. *LCM virus is present in experimental mouse tumors which is a second source of infection for humans. This was first recognized in a transplantable leukemia of C58 mice. The disease can also be transmitted to laboratory animals via inoculation of infected tissue culture cells. The infection also occurs in guinea pigs, rabbits, rats, canines, swine, and primates. TRANSMISSION: Infection in mice is maintained by congenital infection followed by lifelong carriage and excretion of virus in saliva, urine, and feces. Human infections are probably from contaminated food and dust, the handling of dead mice, and mouse bites. Bloodsucking arthropod vectors such as ticks, lice, and mosquitos may transmit the disease. Person to person transmission does not occur. DISEASE IN ANIMALS: The clinical signs of LCM depend on the host's resistance and age when infected, although the various categories of the disease are not always clearly delineated. Animals infected in utero or during the first 48 hours postpartum may develop a transient viremia but recover completely within a few weeks. Other animals similarly infected may develop a persistent tolerant infection (PTI) that continues asymptomatically for 6 or more months. Animals infected after the first few days, when the virus will be recognized as foreign, often overcome the infection completely, but an acute, usually fatal syndrome can develop. Signs of acute infection in mice continue for 1-2 weeks and include decreased growth, rough hair coat, hunched posture, blepharitis, weakness, photophobia, tremors, and convulsions. The terminal stage of the PTI, which occurs over several weeks to 5 to 12 month old mice, is characterized by weight loss, blepharitis, and impaired reproductive performance and runted litters. The important necropsy signs are microscopic. Visceral organs, including the liver, kidneys, lungs, pancreas, blood vessels, and meninges, are infiltrated by lymphocytes. A glomerulonephritis of probable immune complex origin is a characteristic feature of terminal PTI. DISEASE IN MAN: The features may include …
病原体:沙粒病毒在小鼠体内存在的许多潜伏病毒中,只有沙粒病毒能自然感染人类。LCM很容易从动物传染给人类。阿姆斯特朗和莉莉在调查1933年圣路易斯脑炎爆发时分离出的病毒。宿主和发病:世界范围内野生小鼠(m.s musus)。这种疾病主要局限于美国东海岸和东北部各州,野生小鼠感染实验室小鼠。小鼠和仓鼠是已知存在长期无症状感染的唯一物种。*LCM病毒存在于实验性小鼠肿瘤中,是人类感染的第二来源。这是在C58小鼠的可移植白血病中首次发现的。这种疾病也可以通过接种受感染的组织培养细胞传染给实验动物。这种感染也发生在豚鼠、兔子、大鼠、犬、猪和灵长类动物身上。传播:小鼠的感染是通过先天性感染维持的,随后终生携带和通过唾液、尿液和粪便排出病毒。人类感染可能来自受污染的食物和灰尘、处理死老鼠和老鼠咬伤。蜱虫、虱子和蚊子等吸血节肢动物媒介可传播该病。不会发生人与人之间的传播。动物疾病:LCM的临床症状取决于感染时宿主的抵抗力和年龄,尽管疾病的各种类别并不总是清楚地描述。在子宫内或产后48小时内感染的动物可能会出现短暂的病毒血症,但在几周内完全恢复。其他类似感染的动物可能出现持续耐受性感染(PTI),无症状持续6个月或更长时间。动物在最初几天感染后,病毒会被认为是外来的,通常会完全克服感染,但可能会出现急性,通常是致命的综合征。小鼠急性感染的症状持续1-2周,包括生长下降、毛糙、驼背、眼睑炎、虚弱、畏光、震颤和抽搐。PTI的终末期发生在5到12个月大的老鼠身上,持续数周,其特征是体重减轻、睑炎、生殖能力受损和窝仔矮小。重要的尸检征象是显微镜下的。内脏器官,包括肝、肾、肺、胰腺、血管和脑膜,被淋巴细胞浸润。可能起源于免疫复合物的肾小球肾炎是终末期PTI的一个特征。人类疾病:特征可能包括……
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引用次数: 0
Human Parechovirus Infections 人类Parechovirus感染
Pub Date : 2018-05-01 DOI: 10.1542/9781610021470-part03-human_parechovirus
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引用次数: 0
期刊
Red Book (2018)
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