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Spatiotemporal Evolution of the Yellow Fever Epidemic in Southeast Brazil from 2016 to 2019. 2016 至 2019 年巴西东南部黄热病疫情的时空演变。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-01 Epub Date: 2024-05-30 DOI: 10.1089/vbz.2024.0004
Maíra Mendonça da Rocha, Cláudia Torres Codeço, Cosme Marcelo Furtado Passos da Silva

Background: Yellow fever (YF) is a zoonotic disease transmitted by mosquitoes among humans and nonhuman primates. Although urban YF is eradicated, the sylvatic YF has reemerged in some areas of Brazil in the twenty-first century. From 2016 to 2019, a sylvatic YF epidemic occurred in Southeast Brazil, where it had been eradicated in the 1940s. Methods: This study's objective was to describe the epidemic in the states of the Southeast region, based on descriptive, cluster, and mobility analyses. Results: Both the descriptive and cluster analyses showed that the YF cases spread from the state of Minas Gerais southward, causing peaks in cases during the summer months. None of the state capitals was included in the clusters, but the connectivity between the municipalities in Greater Metropolitan São Paulo highlighted potential paths of spread. Despite differences in sociodemographic profiles between the Southeast and North of Brazil (the latter region considered endemic), the epidemiological profile was similar, except for patients' occupation, which was not related to rural work in the Southeast. Conclusion: The results contributed to our understanding of the paths by which YF spread across Southeast Brazil and the epidemiological profile in an area that had gone decades without autochthonous cases.

背景:黄热病(YF)是一种通过蚊子在人类和非人灵长类动物中传播的人畜共患疾病。虽然城市黄热病已被根除,但进入二十一世纪后,系统性黄热病在巴西的一些地区再次出现。从 2016 年到 2019 年,巴西东南部地区发生了一次鞘翅目 YF 流行病,这种疾病在 20 世纪 40 年代已被根除。研究方法本研究的目的是根据描述性、聚类和流动性分析,描述东南部地区各州的疫情。研究结果描述性分析和聚类分析均显示,肺结核病例从米纳斯吉拉斯州向南蔓延,导致夏季出现病例高峰。没有一个州的首府被纳入聚类分析,但大圣保罗都市区各市之间的联系突出了潜在的传播路径。尽管巴西东南部和北部(后者被认为是地方病流行区)的社会人口特征存在差异,但流行病学特征相似,只是患者的职业与东南部的农村工作无关。结论研究结果有助于我们了解青年肺结核在巴西东南部的传播途径以及该地区的流行病学概况,该地区几十年来一直没有本地病例。
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引用次数: 0
Myiasis as a Vector for Bacteremia: A Unique Case of Helcococcus kunzii and Ignatzschineria ureiclastica/larvae Polymicrobial Bacteremia from Myiasis. 作为菌血症传播媒介的蠅蛆病:来自蠅蛆病的昆虫螺旋球菌和ureiclastica/larvae多微生物菌血症的独特病例。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-01 Epub Date: 2024-07-15 DOI: 10.1089/vbz.2024.0005
Alex Belote, Dana Hawkinson, D Matthew Shoemaker

Detection of Helcococcus kunzii and Ignatzschineria ureiclastica/larvae has been made possible by recent advancements in microbiologic diagnostics. We report the first described case of polymicrobial bacteremia secondary to these two unique pathogens, and only the third case of I. ureiclastica/larvae bacteremia described in the United States. Myiasis has historically been thought of as an infestation. This case adds to the growing body of evidence that myiasis is potentially a vector for bacteria, and bacteremia, and the potential for the spread of other vector-borne diseases.

近年来,微生物诊断技术的进步使检测昆虫螺旋球菌和脲酵母菌/马拉维酵母菌(Ignatzschineria ureiclastica/larvae)成为可能。我们报告了第一例继发于这两种独特病原体的多微生物菌血症病例,也是美国报告的第三例 I. ureiclastica/larvae 菌血症病例。蠅蛆病历来被认为是一种虫害。越来越多的证据表明,蠅蛆病可能是细菌和菌血症的病媒,并有可能传播其他病媒传播的疾病。
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引用次数: 0
Prevalence and Knowledge of Tick-Borne Disease Among Forest Management Workers in Santa Cruz, California. 加利福尼亚州圣克鲁斯市森林管理工人中蜱传疾病的流行率和知识。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-11-01 Epub Date: 2024-04-29 DOI: 10.1089/vbz.2024.0012
Francesca Rubino, Janet Foley

Background: In Lyme-endemic areas, limited research has investigated the risk of tick-borne diseases among frontline workers in fire management. This study aimed to compare the exposure histories to ticks and tick-borne pathogens, knowledge, and prevention practices between individuals engaged in fire-related forest management and those participating in recreational activities within Santa Cruz County, CA, in an area of high risk of tick exposure. Methods: Blood samples from 55 forest workers and 58 members of the public were tested for bacterial DNA of and antibodies to Borrelia burgdorferi, Anaplasma phagocytophilum, and Rickettsia species. In addition, a questionnaire was administered to 54 workers and 84 members of the public to identify gaps in knowledge and prevention practices. Results: Although workers had a higher percentage of positive B. burgdorferi antibodies than the public (5.5% compared with 1.7%), the difference was not statistically significant. Conversely, rickettsial antibodies were more prevalent among the public (17.2% versus 3.6% for workers), but specificity to pathogenic bacteria could not be confirmed. No DNA for the three pathogens or antibodies against A. phagocytophilum were detected. Many workers and members of the public reported tick bites (67.4% of participants), with a notable 11% increase among workers in the odds of being bitten for each additional year spent working in forests. Although workers took greater precautions, significant knowledge and practice gaps were identified among both populations, such as an inability to distinguish tick species from common arthropods (mites, spiders, fleas), overestimating the size of ticks, and inappropriate tick-removal techniques. Conclusion: This study underscores the risk of tick-borne diseases faced by fire management workers in Lyme disease-endemic regions. The findings emphasize the necessity for future studies of Lyme disease within this population, and highlight the urgent need for enhanced training programs to minimize these risks.

背景:在莱姆病流行的地区,对火灾管理一线工作人员蜱媒疾病风险的调查十分有限。本研究旨在比较加利福尼亚州圣克鲁斯县(蜱虫暴露高风险地区)从事与火灾相关的森林管理的人员和参与娱乐活动的人员的蜱虫和蜱虫病原体暴露史、知识和预防措施。研究方法对 55 名森林工作者和 58 名公众的血液样本进行了细菌 DNA 检测,并检测了鲍曼不动杆菌、噬细胞无形体和立克次体的抗体。此外,还对 54 名工人和 84 名公众进行了问卷调查,以确定他们在知识和预防方法方面的差距。结果:虽然工人的勃氏菌抗体阳性率高于公众(5.5% 比 1.7%),但两者之间的差异并无统计学意义。相反,立克次体抗体在公众中更普遍(17.2%,而工人为 3.6%),但对致病菌的特异性无法确认。没有检测到三种病原体的 DNA 或噬菌体抗体。许多工人和公众都报告了被蜱虫叮咬的情况(67.4% 的参与者),在森林中工作每增加一年,工人被叮咬的几率就会明显增加 11%。虽然工人采取了更多的预防措施,但在这两个人群中都发现了明显的知识和实践差距,例如无法区分蜱虫种类和常见节肢动物(螨虫、蜘蛛、跳蚤)、高估蜱虫的大小以及不恰当的除蜱技术。结论这项研究强调了莱姆病流行地区消防管理人员面临的蜱传疾病风险。研究结果强调了今后在这一人群中开展莱姆病研究的必要性,并突出了加强培训计划以最大限度降低这些风险的迫切需要。
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引用次数: 0
Bartonella Species in Small Mammals in Turkey: Bartonella bilalgolemii sp. nov. Isolated from a Ural Field Mouse (Apodemus uralensis). 土耳其小型哺乳动物中的巴顿氏菌:从乌拉尔田鼠(Apodemus uralensis)身上分离出的 Bartonella bilalgolemii sp.
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-31 DOI: 10.1089/vbz.2024.0026
Bekir Çelebi, Rita Zgheib, Ahmet Karataş, Cahit Babür, İbrahim Mehmet Ali Öktem, Ferhat Matur, Mustafa Sözen, Bernard Davoust, Oleg Mediannikov, Pierre-Edouard Fournier

Background: The genus Bartonella is composed of Gram-negative, fastidious, facultative intracellular bacteria that can cause bacteremia in mammals and various disorders in humans. Rodents have been reported as reservoirs of more than 30 Bartonella species, seven of which cause zoonotic infections. Materials and Methods: In the present study, the isolation of Bartonella sp. was attempted from 150 spleen samples from 13 rodent species (mostly Apodemus species) from three geographically different regions in Turkey. Results: Bartonella sp. was successfully isolated from 65 of these 150 samples (43%). The prevalences of Bartonella sp. in tested rodents in the regions of Giresun, Yozgat, and Burdur were 68%, 44%, and 16%, respectively. Using polymerase chain reaction/sequence analysis of the citrate synthase-coding gene (gltA), Bartonellaisolates were classified seven species including B. taylorii, B. grahamii, B. birtlesii, B. mastomydis, and three putatively new Bartonella species. We performed further identification techniques for one of the three Bartonella species that were different from the validated Bartonella species according to the gltA sequence analysis. Conclusion: Here, we report the genomic and phenotypic characterization of Bartonella sp. strain G70 that was isolated from the splenic tissue of an Apodemus uralensis (Pallas 1881), the Ural field mouse, captured in the Giresun region of northeastern Turkey. Bartonella sp. strainG70 (RSKK 22001) was characterized by whole genome and partial gene (gltA, 16S ribosomal RNA) sequencing and comparison, scanning electron microscopy, biochemical tests, and matrix-assisted laser desorption ionization time-of-flight mass spectrometry. This novel Bartonella is a Gram-negative, rod-shaped bacterium and has neither flagella nor pili. The genome from strain G70 was 1,606,969-bp-long with a G + C content of 35.7%. Bartonella rochalimae was found to be the closest phylogenetic relative of strain G70 (OrthoANI = 90.5%, digital DNA-DNA hybridization = 41.4%). We therefore propose that this new species be named Bartonella bilalgolemii sp. nov. with strain G70T as the type strain.

背景:巴顿氏菌属由革兰氏阴性、繁殖快、细胞内兼性细菌组成,可导致哺乳动物菌血症和人类各种疾病。据报道,啮齿动物是 30 多种巴顿氏菌的贮藏地,其中 7 种会引起人畜共患病。材料和方法:本研究尝试从土耳其三个不同地区 13 种啮齿动物(主要是 Apodemus 种)的 150 份脾脏样本中分离巴顿氏菌。结果:在这 150 份样本中,有 65 份(43%)成功分离出巴顿氏杆菌。吉雷松、约兹加特和布尔杜尔地区受检啮齿动物的巴顿氏菌感染率分别为 68%、44% 和 16%。通过对柠檬酸合成酶编码基因(gltA)进行聚合酶链反应/序列分析,巴顿菌分离物被分为 7 个种,包括泰勒氏巴顿菌(B. taylorii)、格雷厄姆氏巴顿菌(B. grahamii)、伯特氏巴顿菌(B. birtlesii)、马斯托米迪氏巴顿菌(B. mastomydis)和 3 个推测的巴顿菌新种。根据 gltA 序列分析,我们对这三个巴顿菌种中的一个进行了进一步的鉴定。结论在此,我们报告了从土耳其东北部吉雷松地区捕获的乌拉尔田鼠 Apodemus uralensis (Pallas 1881) 脾脏组织中分离出的巴顿菌 G70 株的基因组和表型特征。通过全基因组和部分基因(gltA、16S 核糖体 RNA)测序和比较、扫描电子显微镜、生化测试和基质辅助激光解吸电离飞行时间质谱分析,对巴顿氏菌 G70 株(RSKK 22001)进行了鉴定。这种新型巴顿氏菌是一种革兰氏阴性、杆状细菌,既无鞭毛也无纤毛。菌株 G70 的基因组长 1,606,969 bp,G+C 含量为 35.7%。研究发现,罗沙利玛氏巴顿菌是 G70 菌株在系统发育上的近亲(OrthoANI = 90.5%,数字 DNA-DNA 杂交 = 41.4%)。因此,我们建议将这一新种命名为 Bartonella bilalgolemii sp.
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引用次数: 0
Combining Morphological and Molecular Tools Can Enhance Tick Species Identification for Improved Tick-Borne Disease Surveillance Among Pastoral Communities in Kenya. 结合形态学和分子工具可加强蜱虫物种鉴定,从而改善肯尼亚牧区的蜱传疾病监测。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-31 DOI: 10.1089/vbz.2024.0034
Hellen Koka, Solomon Langat, Francis Mulwa, James Mutisya, Samuel Owaka, Millicent Sifuna, Juliette R Ongus, Joel Lutomiah, Rosemary Sang

Background: Ticks are ecto-parasites of domestic animals, rodents, and wildlife living for periods at a time on one or more vertebrate hosts. They are important vectors of viral, bacterial, or parasitic diseases in livestock and humans. Crimean-Congo haemorrhagic fever virus and the spotted fever rickettsiae are some of the tick-borne diseases of public health importance reported in Kenya. Their distribution and public health risks among communities, especially pastoralists, remain poorly characterized due to limited surveillance, affected partly by inadequate capacity for tick identification arising from a limited number of skilled taxonomists. Materials and Methods: The aim of this survey was to identify tick species currently circulating in different livestock hosts in northern Kenya. Ticks were sampled from cattle, sheep, goats, and camels in Turkana, Isiolo, Baringo, and West Pokot counties, and differential identification was carried out using morphological identification keys followed by molecular characterization based on the cytochrome c oxidase I gene (cox1). Haplotypes were determined using the DnaSP v6 software and phylogenetic relationships inferred using the maximum likelihood algorithm. Results: A total of 12,206 ticks were collected, from Turkana (45.4%), Isiolo (23.1%), Baringo (22.7%), and West Pokot (8.8%) counties in Kenya. Ten species were confirmed by molecular analysis; H. rufipes, H. impeltatum, H. dromedarii, R. pravus, R. camicasi, R. pulchellus, R. evertsi evertsi, A. variegatum, A. gemma, and A. lepidum. There was no disparity in the morphological and molecular identification of Amblyomma species. However, molecular analysis provided insight into the complexity of morphological identification especially among Hyalomma and Rhipicephalus species. High haplotype diversities (0.857-1.000) and low nucleotide diversities (0.00719-0.06319) were observed in all the tick samples tested. Conclusion: The findings highlight the diversity of tick species in dry pastoral ecologies in Kenya and the importance of confirming morphological identification by molecular analysis thus contributing to accurate mapping of tick-borne disease distribution and risk.

背景:蜱虫是家畜、啮齿动物和野生动物的体外寄生虫,每次在一个或多个脊椎动物宿主身上生活一段时间。它们是家畜和人类感染病毒、细菌或寄生虫病的重要媒介。据报道,克里米亚-刚果出血热病毒和斑疹热立克次体是肯尼亚一些具有公共卫生重要性的蜱媒疾病。这些疾病在社区(尤其是牧民)中的分布情况和公共卫生风险仍未得到很好的描述,原因是监测有限,部分原因是熟练的分类学家数量有限,导致识别蜱虫的能力不足。材料和方法:本次调查的目的是确定目前在肯尼亚北部不同牲畜宿主中流行的蜱虫种类。从图尔卡纳、伊西奥洛、巴林戈和西波科特县的牛、绵羊、山羊和骆驼身上采集了蜱虫样本,使用形态学识别钥匙进行了鉴别,然后根据细胞色素 c 氧化酶 I 基因(cox1)进行了分子鉴定。使用 DnaSP v6 软件确定了单倍型,并使用最大似然法推断了系统发生关系。研究结果共收集到 12 206 只蜱虫,分别来自肯尼亚的图尔卡纳(45.4%)、伊西奥洛(23.1%)、巴林戈(22.7%)和西波科特(8.8%)县。通过分子分析确认了 10 个物种:H. rufipes、H. impeltatum、H. dromedarii、R. pravus、R. camicasi、R. pulchellus、R. evertsi evertsi、A. variegatum、A. gemma 和 A. lepidum。Amblyomma物种的形态学鉴定和分子鉴定没有差异。然而,分子分析使人们了解到形态鉴定的复杂性,尤其是在 Hyalomma 和 Rhipicephalus 种类之间。在所有测试的蜱样本中都观察到了较高的单倍型多样性(0.857-1.000)和较低的核苷酸多样性(0.00719-0.06319)。结论研究结果突显了肯尼亚干旱牧区生态环境中蜱物种的多样性,以及通过分子分析确认形态鉴定的重要性,从而有助于准确绘制蜱传疾病分布图和风险图。
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引用次数: 0
Establishment of Animal Infection Model of Spirometra Mansoni and Identification of Spirometra Mansoni by Enzyme-Linked Immunosorbent Assay. 建立曼氏螺旋体动物感染模型并通过酶联免疫吸附试验鉴定曼氏螺旋体
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-25 DOI: 10.1089/vbz.2024.0051
Anqi Luo, Shuyu Chen, Mingye He, Xiaoruo Tan, Zhikang Li, Wei Liu, Yisong Liu

Objective: Spirometra mansoni is a crucial zoonotic parasite. Its larvae are more harmful than adult worms due to their ability to migrate through the host's tissues and organs. Therefore, it is necessary to establish an animal model of spargana for observing pathological changes and exploring diagnostic techniques. Methods: In this study, we infected Kunming mice and cats without any pathogens by feeding sparganum (with the scolex and neck) in order to understand the infection cycle of S. mansoni and explore the preservation host of sparganosis. The infection of S. mansoni was determined by fecal detection and enzyme-linked immunosorbent assay (ELISA). Results: In the model of cats, the eggs of S. mansoni were found in the feces ten days after the infection. The serum-specific IgG antibodies against S. mansoni were positive in experimental groups (mice and cats), and after sixty days, the S. mansoni worms isolated from experimental groups were collected. Conclusion: In conclusion, the experimental results show that mice and cats can be stably infected with S. mansoni through feeding sparganum (with the scolex and neck). The infection method of this study has the potential to establish a practical model for investigating the diagnostic process of S. mansoni, laying the groundwork for application and development. ELISA was used to diagnose mice and cats infected with sparganosis mansoni, providing a case for non-invasive identification of animal sparganosis.

目的:曼氏螺旋体是一种重要的人畜共患寄生虫。由于其幼虫能够在宿主的组织和器官中迁移,因此比成虫危害更大。因此,有必要建立斯巴加那虫的动物模型,以观察病理变化并探索诊断技术。研究方法为了了解曼氏疟原虫的感染周期,探索疟原虫病的保存宿主,本研究通过饲喂疟原虫(带喙和颈部)感染昆明小鼠和猫,无任何病原体。通过粪便检测和酶联免疫吸附试验(ELISA)确定曼氏沙门氏菌的感染情况。结果:在猫的模型中,感染十天后粪便中发现了曼氏沙门氏菌卵。实验组(小鼠和猫)血清中针对曼氏沙门氏菌的特异性 IgG 抗体呈阳性,60 天后,从实验组中收集到分离出的曼氏沙门氏菌虫体。结论总之,实验结果表明,小鼠和猫可以通过喂食匙吻鲟(带螯和颈部)稳定感染曼氏沙门氏菌。本研究的感染方法有可能为研究曼氏沙门氏菌的诊断过程建立一个实用模型,为应用和开发奠定基础。利用酶联免疫吸附法诊断感染曼氏疏螺旋体病的小鼠和猫,为非侵入性鉴定动物疏螺旋体病提供了案例。
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引用次数: 0
Coinfection with Orthohantavirus and Leptospira spp. in Rats Collected from Markets in Indonesia. 印度尼西亚市场上收集的大鼠同时感染正黄病毒和钩端螺旋体的情况
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-18 DOI: 10.1089/vbz.2023.0170
Kozue Miura, James Chambers, Naohiro Takahashi, Harimurti Nuradji, Nlp Indi Dharmayanti, Susanti, Parriantariksina Randusari, Susan M Noor, Rahmat Setya Adji, Muharam Saepulloh, Sumarningsih, Kumiko Yoshimatsu, Nobuo Koizumi

Background: Rats are an important reservoir animal for several zoonotic pathogens worldwide, including hantaviruses and Leptospira spp., which are the causative agents of hemorrhagic fever with renal syndrome, hantavirus cardiopulmonary syndrome, and leptospirosis. Although a previous study indicated a high frequency of antihantaviral antibodies in patients with acute fever in Indonesia, circulating hantaviruses and their reservoir animals in the country remain limited. Materials and Methods: The presence of hantavirus in rats captured in the urban area of Bogor, Indonesia, from which Leptospira spp. were isolated using PCR, followed by DNA sequencing. Immunohistochemical analyses were performed to detect hantaviral and leptospiral antigens in rat kidney tissues. Results: Seoul of Orthohantavirus seoulense (SEOV) RNA was detected from 24 of 80 Rattus norvegicus (30%). SEOV and Leptospira coinfection was detected in 10 of 80 rats (12.5%). Immunohistochemistry revealed that hantavirus antigens were positively stained in the interstitial capillaries and cells, whereas Leptospira antigens were stained in the luminal side of the renal tubules. Conclusion: This study revealed a high prevalence of SEOV and SEOV and Leptospira coinfection among rats in the urban areas of Bogor, Indonesia, indicating a potential risk of rat-borne zoonotic diseases in the area.

背景:大鼠是全球几种人畜共患病病原体的重要贮藏动物,其中包括汉坦病毒和钩端螺旋体属,它们是出血热伴肾综合征、汉坦病毒心肺综合征和钩端螺旋体病的病原体。尽管之前的一项研究表明,印尼急性发热患者体内抗汉坦病毒抗体的频率很高,但该国的循环汉坦病毒及其宿主动物仍然有限。材料和方法:在印度尼西亚茂物市区捕获的老鼠中发现了汉坦病毒,利用聚合酶链式反应(PCR)从老鼠身上分离出钩端螺旋体,然后进行 DNA 测序。通过免疫组化分析检测大鼠肾脏组织中的汉坦病毒和钩端螺旋体抗原。结果80只鼠中有24只(30%)检测到首尔汉坦病毒(SEOV)RNA。在 80 只大鼠中有 10 只(12.5%)检测到 SEOV 和钩端螺旋体合并感染。免疫组化显示,汉坦病毒抗原在肾间质毛细血管和细胞中呈阳性染色,而钩端螺旋体抗原则在肾小管管腔侧染色。结论这项研究揭示了印尼茂物市区老鼠中 SEOV 和 SEOV 与钩端螺旋体混合感染的高流行率,表明该地区存在老鼠传播人畜共患病的潜在风险。
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引用次数: 0
Brucellosis Coinfecting with Liver Hydatid Cyst: Case Report and Literature Review of Zoonoses Coinfection of Human Brucellosis. 布鲁氏菌病合并肝包虫囊肿:人畜共患病合并感染人类布鲁氏菌病的病例报告和文献综述。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-18 DOI: 10.1089/vbz.2024.0062
Dai Peijun, Shen Weiwei, Pu Zhongshu

Background: Brucellosis is a major global public health problem. Brucellosis usually coinfects with zoonoses because of their similar reservoir and infection routes. Materials and Methods: Here, we present a patient who was diagnosed with coinfecting with liver cyst and brucellosis. Results: A 57-year-old female farmer was hospitalized with right hip joint pain approximately 4 weeks earlier. The patient reported a history of hydatid cysts and a family history of brucellosis. Abdominal computerized tomography and ultrasonography revealed a liver hydatid cyst. The standard agglutination test titer of Wright's test was 1:100. Computerized tomography and magnetic resonance imaging revealed brucellosis hip arthritis. The patient was treated with a combination of doxycycline, rifampicin, and cefotaxime. The symptoms immediately improved. The patient was well and asymptomatic during the 6-month follow-up. We reviewed the literature on other zoonoses superinfection with brucellosis. Conclusion: Brucellosis coinfects with multiple zoonosis organisms and poses a serious health threat to humans. Awareness of possible brucellosis coinfection with other zoonoses, especially professionally exposed persons in endemic regions, is warranted.

背景:布鲁氏菌病是一个重大的全球公共卫生问题。布鲁氏菌病通常与人畜共患疾病同时感染,因为它们有相似的储库和感染途径。材料与方法:本文介绍了一名被诊断为肝囊肿和布鲁氏菌病并发感染的患者。结果:一名 57 岁的女性农民约 4 周前因右髋关节疼痛住院。患者称有包虫囊肿病史和布鲁氏菌病家族史。腹部计算机断层扫描和超声波检查发现了肝包虫囊肿。赖特氏试验的标准凝集试验滴度为 1:100。计算机断层扫描和磁共振成像显示患者患有布鲁氏菌病髋关节炎。患者接受了强力霉素、利福平和头孢他啶的联合治疗。症状立即得到改善。在 6 个月的随访期间,患者状况良好,无任何症状。我们查阅了有关其他人畜共患病超级感染布鲁氏菌病的文献。结论是布鲁氏菌病与多种人畜共患病同时感染,对人类健康构成严重威胁。需要警惕布鲁氏菌病可能与其他人畜共患病,特别是流行地区的职业接触者。
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引用次数: 0
Prevalence of Emerging Arboviral Infections: A Tertiary Care Hospital-Based Study from Kashmir, Northern India. 新出现的虫媒病毒感染:印度北部克什米尔三级医院研究》。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-18 DOI: 10.1089/vbz.2024.0085
Bashir Ahmad Fomda, Masqooba Murtaza, Dalip K Kakru, Shabir Ahmad Lone, Imtiyaz Sheikh, Shahnawaz Ayoub, Mubashir Nazir

Background: Arboviruses are becoming a global public health menace. The common diseases worldwide caused by arboviruses are dengue, chikungunya, and Zika. This study aims to determine the prevalence of these three arboviral infections in patients with acute febrile illness at a tertiary care hospital in Kashmir, North India. Materials and Methods: A total of 812 blood samples were collected and tested for anti-dengue, anti-chikungunya immunoglobulin M (IgM), and dengue nonstructural protein 1 antigen by enzyme linked immunosorbent assay. Molecular testing of these samples was also done to detect dengue, chikungunya, and Zika viruses by using the CDC Trioplex real-time PCR assay. Results: The prevalence of diseases found among the studied patients was dengue 105/812 (12.93%) followed by chikungunya 17/812 (2.09%), and 3 cases (0.37%) were positive for both dengue and chikungunya; however, no case of Zika was detected. Interestingly, we found that only individuals that had a history of travel to different destinations within the country were positive for these viruses. Most affected cases were males 105/812 (12.93%) compared with females 20/812 (2.46%). Dengue serotyping results indicate that Dengue virus-1 was the most commonly found serotype. The most common symptoms in patients positive for dengue and chikungunya were fever, intense fatigue, myalgia, arthralgia, retro-orbital pain, anorexia, conjunctivitis, and skin rash. Conclusion: This study showed that dengue, chikungunya, and Zika viruses are not prevalent in the indigenous population of Kashmir. However, screening for these agents is required in people who have recently traveled outside Kashmir and have symptoms of acute febrile illness.

背景:虫媒病毒正成为全球公共卫生的威胁。由虫媒病毒引起的全球常见疾病有登革热、基孔肯雅和寨卡。本研究旨在确定这三种虫媒病毒感染在印度北部克什米尔地区一家三级医院急性发热疾病患者中的流行率。材料和方法:共采集了 812 份血液样本,并通过酶联免疫吸附试验检测了抗登革热、抗基孔肯雅病毒免疫球蛋白 M (IgM) 和登革热非结构蛋白 1 抗原。此外,还使用疾病预防控制中心 Trioplex 实时 PCR 检测法对这些样本进行了登革热、基孔肯雅和寨卡病毒的分子检测。结果在研究的患者中,登革热发病率为 105/812(12.93%),其次是基孔肯雅热 17/812(2.09%),有 3 例(0.37%)患者同时对登革热和基孔肯雅热病毒检测呈阳性,但没有发现寨卡病毒病例。有趣的是,我们发现只有在国内不同目的地有过旅行史的人才会对这些病毒呈阳性反应。大多数受影响的病例为男性 105/812(12.93%),女性 20/812(2.46%)。登革热血清分型结果显示,登革热病毒-1 是最常见的血清型。登革热和基孔肯雅病毒阳性患者最常见的症状是发热、强烈疲劳、肌痛、关节痛、眶后疼痛、厌食、结膜炎和皮疹。结论这项研究表明,登革热、基孔肯雅和寨卡病毒在克什米尔土著居民中并不流行。但是,需要对最近到过克什米尔以外地区并有急性发热疾病症状的人进行这些病原体的筛查。
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引用次数: 0
The Burden of Acinetobacter baumannii Among Pet Dogs and Cats with Respiratory Illness Outside the Healthcare Facilities: A Possible Public Health Concern. 医疗机构外患呼吸道疾病的宠物猫狗中鲍曼不动杆菌的负担:可能引发的公共卫生问题。
IF 1.8 4区 医学 Q3 INFECTIOUS DISEASES Pub Date : 2024-10-15 DOI: 10.1089/vbz.2024.0082
Alaa A Shaker, Ahmed Samir, Hala M Zaher, Khaled A Abdel-Moein

Background: Researchers paid more attention to nosocomial Acinetobacter baumannii in veterinary hospitals worldwide; however, the research scope toward community-acquired A. baumannii infections among animals is largely ignored. Therefore, the current study aimed to investigate the role of diseased dogs and cats suffering from respiratory illness in transmission of community-acquired A. baumannii infection and its public health threat. Materials and methods: Oral swabs were collected from 154 pet animals with respiratory signs, including 80 cats and 74 dogs (outpatient visits). The obtained swabs were cultured on CHROMagar™ MH Orientation media for isolation of A. baumannii, and identification of suspected isolates was conducted via Gram staining, conventional biochemical tests, and molecular detection of the blaOXA-51-like gene. Antimicrobial susceptibility testing of A. baumannii isolates was carried out using the disc diffusion method. Results: Overall, 10 (6.5%) out of 154 diseased pet animals were positive for A. baumannii, where 6 (8.1%) and 4 (5%) dogs and cats were positive, respectively. Multidrug-resistant (MDR) A. baumannii was found in 3.9% of the examined animals. The phylogenetic tree analysis revealed that the obtained sequences from dogs and cats were closely related to human and animal sequences. Conclusion: The occurrence of MDR A. baumannii among dogs and cats suffering from respiratory illness highlights the potential role of pet animals in the dissemination of MDR A. baumannii in the community.

背景:世界各地的研究人员对兽医院中的鲍曼不动杆菌给予了更多关注,但对动物中社区获得性鲍曼不动杆菌感染的研究范围却大多被忽视。因此,本研究旨在调查患有呼吸道疾病的患病猫狗在社区获得性鲍曼不动杆菌感染传播中的作用及其对公共卫生的威胁。材料和方法:从 154 只出现呼吸道症状的宠物身上采集口腔拭子,其中包括 80 只猫和 74 只狗(门诊患者)。获得的拭子在 CHROMagar™ MH Orientation 培养基上进行培养,以分离鲍曼不动杆菌,并通过革兰氏染色、常规生化测试和 blaOXA-51 样基因的分子检测对可疑分离物进行鉴定。采用碟片扩散法对鲍曼尼氏菌分离株进行抗菌药敏感性检测。结果显示总体而言,154 只患病宠物中有 10 只(6.5%)对鲍曼林杆菌呈阳性,其中狗和猫分别有 6 只(8.1%)和 4 只(5%)呈阳性。在3.9%的受检动物中发现了耐多药(MDR)鲍曼林杆菌。系统发生树分析表明,从狗和猫身上获得的序列与人类和动物的序列密切相关。结论在患有呼吸道疾病的狗和猫中出现 MDR 鲍曼尼菌突出表明了宠物在 MDR 鲍曼尼菌在社区传播中的潜在作用。
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引用次数: 0
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Vector borne and zoonotic diseases
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