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ASSOCIATION OF DENGUE VIRUS TYPE-SPECIFIC IGG ON PLATELETS IS SPECIFIC FOR THE ACUTE PHASE IN AN IMPORTED JAPANESE PATIENT WITH SECONDARY DENGUE 2 VIRUS INFECTION 在日本输入的继发性登革2型病毒感染患者的急性期,血小板上登革病毒型特异性igg的关联是特异性的
Pub Date : 2003-12-15 DOI: 10.2149/TMH1973.31.223
K. Oishi, S. Inoue, T. Kuramoto, S. Onizuka, M. Saito, F. Hasebe, K. Morita, T. Nagatake
The mechanism of thrombocytopenia in dengue virus infection remains unknown. We report herein an imported case of a 21-year-old male Japanese with dengue fever caused by secondary dengue 2 virus infection. The thrombocytopenia detected around the day of defervescence was associated with an increased level of platelet-associated IgG (PAIgG). The eluate from the platelets during the acute phase of this case contained an increased activity of anti-dengue virus 2 IgG, while the eluate from platelets during the convalescent phase contained a low level of anti-dengue 2 IgG. These findings suggest the transient formation of PAIgG involving anti-dengue 2 virus IgG during the acute phase of secondary dengue 2 virus infection.
登革热病毒感染中血小板减少的机制尚不清楚。我们报告一例输入性21岁日本男性登革热继发性登革热2型病毒感染病例。在退热当天检测到的血小板减少与血小板相关IgG (PAIgG)水平升高有关。该病例急性期血小板洗脱液中抗登革病毒2 IgG活性升高,而恢复期血小板洗脱液中抗登革病毒2 IgG活性较低。这些结果提示,在继发性登革2病毒感染的急性期,包含抗登革2病毒IgG的PAIgG会短暂形成。
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引用次数: 1
UNEXPECTEDLY HIGH PREVALENCE OF WUCHERERIA BANCROFTI INFECTION OBTAINED BY ICT CARD TESTS IN COMPARISON WITH THAT DETERMINED BY IgG4 ELISA USING URINE SAMPLES : A POSSIBILITY OF FALSE POSITIVE REACTIONS WITH ICT CARD TESTS IN A STUDY IN THAILAND 在泰国的一项研究中,与IgG4酶联免疫吸附测定尿液样本相比,ICT卡试验获得的班氏乌切里氏菌感染率出乎意料地高:ICT卡试验出现假阳性反应的可能性
Pub Date : 2003-12-15 DOI: 10.2149/TMH1973.31.217
E. Kimura, M. Anantaphruti, D. Limrat, S. Thammapalo, M. Itoh, P. Singhasivanon, J. Waikagul
With the purposes of studying the recent prevalence of Wuchereria bancrofti infection in Thai-Myanmar border areas, and evaluating the usefulness of a new ELISA, which uses urine as samples (urine ELISA), 519 people in Sangkhla Buri and 84 people in Suan Phung were examined by ICT card test for filarial antigen and by urine ELISA for filaria-specific IgG4. In the former area, positive rates by ICT test and the ELISA were 16.8% and 21.2%, respectively; in the latter area, the respective rates were 10.7% and 7.1%. These figures were unexpected, because the urine ELISA used to give much higher prevalence than antigenemia tests in our previous studies. In addition, only 37 of 96 ICT positives (38.5%) were urine ELISA positive. Our previous studies showed that the sensitivity of urine ELISA among the microfilaria and/or antigen positive individuals was more than 90%. Diethylcarbamazine treatment given to the known ICT positives at 300 mg/day for 12 days reduced antigenemia rate from 100% to 32.8%, which was determined 2 months after treatment by Og4C3 ELISA. The reduction of 67.2% seemed to be unusually high. These conflicting results could be explained by possible false positive reactions produced by ICT test.
为了研究泰缅边境地区班氏乌chereria bancrofti感染的近期流行情况,并评价一种以尿液为样本的新型ELISA(尿液ELISA)的有效性,对Sangkhla Buri的519人和Suan Phung的84人进行了丝虫病抗原的ICT卡试验和丝虫病特异性IgG4的尿液ELISA检测。前者ICT检测阳性率为16.8%,ELISA检测阳性率为21.2%;后者的比率分别为10.7%和7.1%。这些数字是出乎意料的,因为在我们以前的研究中,尿液ELISA的流行率远远高于抗原血症试验。96例ICT阳性患者中,仅37例(38.5%)尿液ELISA阳性。我们的前期研究表明,尿液ELISA对微丝虫和/或抗原阳性个体的敏感性大于90%。对已知的ICT阳性患者给予300 mg/天的乙基卡马嗪治疗12天,使抗原血症率从100%降至32.8%,这是在治疗2个月后用Og4C3 ELISA测定的。67.2%的降幅似乎异常之高。这些相互矛盾的结果可以解释为ICT测试可能产生的假阳性反应。
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引用次数: 5
熱帯地域における Prospective Community Study (PCS) 热带地区Prospective社区研究(PCS)
Pub Date : 2003-09-15 DOI: 10.2149/TMH1973.31.124
門司 和彦, 金田 英子, 安高 雄治, 嶋田 雅暁
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引用次数: 0
DRUG SUSCEPTIBILITY OF NEISSERIA GONORRHOEAE IN LAO PEOPLE'S DEMOCRATIC REPUBLIC 老挝人民民主共和国淋病奈瑟菌药敏分析
Pub Date : 2003-09-15 DOI: 10.2149/TMH1973.31.117
B. Phantouamath, N. Sithivong, Traykhoune Phouthavanh, Khampheng Chomlasak, L. Sisavath, K. Munnalath, Khambai Noilath, Sommay Phongsavanh, S. Insisiengmay, M. Iwanaga
Drug susceptibility of Neisseria gonorrhoeae in the past 3 years in Lao People's Democratic Republic (Lao PDR) was examined. The organisms were collected from the patients visiting Center for Laboratory and Epidemiology, Ministry of Health, Vientiane, Lao PDR. A total of 131 isolates of N. gonorrhoeae (45 in 2000. 27 in 2001, and 59 in 2002) were collected, and the drug susceptibilities of the isolates were examined by disc method using 5 anti-microbial agents (ciprofloxacin, ceftriaxone, penicillin, spectinomycin, and tetracycline). The susceptibility was expressed as sensitive (S), intermediate (M) and resistant (R) depending on the Zone Diameter Interpretive Chart attached to the disc preparation. As the results, almost all isolates were resistant to penicillin and tetracycline, but sensitive to ceftriaxone and spectinomycin. Most of the penicillin resistant isolates were regarded as penicillinase producing N. gonorrhoeae (PPNG) depending on the effect of clavulanic acid. N. gonorrhoeae is getting resistant to ciprofloxacin in the 3-year examination period. About 10% of the isolates were resistant to ciprofloxacin in 2000, but the rate of resistant strains went up to 70% in 2002. There were very few isolates showing intermediate susceptibility.
对老挝人民民主共和国近3年淋病奈瑟菌的药敏情况进行了调查。这些微生物是从老挝人民民主共和国万象卫生部实验室和流行病学中心就诊的患者处采集的。共有131株淋病奈瑟菌分离株(2000年为45株)。分别于2001年和2002年收集27株和59株),采用圆盘法对5种抗菌药物(环丙沙星、头孢曲松、青霉素、大观霉素和四环素)进行药敏试验。根据圆盘制剂附带的区域直径解释图,将敏感性表示为敏感(S),中间(M)和抗性(R)。结果表明,几乎所有分离株对青霉素和四环素耐药,但对头孢曲松和大观霉素敏感。根据克拉维酸的作用,大多数耐青霉素分离株被认为是产生青霉素酶的淋病奈索菌(PPNG)。淋病奈瑟菌在3年的检查期内对环丙沙星产生耐药性。2000年对环丙沙星的耐药率约为10%,2002年耐药率上升至70%。很少有菌株表现出中等敏感性。
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引用次数: 2
AN ANIMAL MODEL FOR ESTABLISHING CHEMOTHERAPY AGAINST INTRACTABLE TOXOPLASMOSIS IN IMMUNOCOMPROMISED HOSTS BY THE USE OF IFN-γ KNOCKOUT MICE 利用ifn -γ敲除小鼠在免疫功能低下宿主中建立化疗治疗顽固性弓形虫病的动物模型
Pub Date : 2003-06-15 DOI: 10.2149/TMH1973.31.83
U. Belal, K. Norose, H. Mun, Mei Chen, R. Mohamed, A. Ahmed, L. Piao, F. Aosai, A. Yano
The Toxoplasma gondii number was evaluated by quantitative competitive polymerase chain reaction (QC-PCR) assay with or without sulfamethoxazole treatment in the heart, blood, brain, and small intestine of IFN-γ knockout (GKO) BALB/c (B/c) mice after peroral infection with the cyst-forming Fukaya strain. T. gondii infection was observed in the heart, blood, and brain, but not in the small intestine, of mice treated with sulfamethoxazole for 4 weeks. No correlation between T. gondii loads and sulfamethoxazole concentrations in tissues and blood was observed. T gondii was not detected in the heart and blood after continuous sulfamethoxazole treatment for two months, but a small number of parasites was demonstrated in the brain. Thus, we successfully established an animal model for evaluating chemotherapy regimens in immunocompromised hosts by using GKO B/c mice infected with T. gondii.
采用定量竞争聚合酶链反应(QC-PCR)方法,对IFN-γ敲除(GKO) BALB/c (B/c)小鼠经口感染形成囊的Fukaya菌株后,经或不经磺胺甲恶唑治疗后的心脏、血液、大脑和小肠中的刚地弓形虫数量进行了评估。经磺胺甲恶唑治疗4周后,小鼠的心脏、血液和大脑均出现弓形虫感染,小肠未见弓形虫感染。弓形虫载量与组织和血液中磺胺甲恶唑浓度无相关性。持续磺胺甲恶唑治疗2个月后,心脏和血液中未检出弓形虫,但在大脑中发现少量寄生虫。因此,我们成功地建立了一种动物模型,通过感染弓形虫的GKO B/c小鼠来评估免疫功能低下宿主的化疗方案。
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引用次数: 1
NATURAL INFECTIONS WITH FILARIAL LARVAE IN TWO SPECIES OF BLACK FLIES (DIPTERA : SIMULIIDAE) IN NORTHERN THAILAND 泰国北部两种黑蝇(双翅目:黑蝇科)丝虫幼虫的自然感染
Pub Date : 2003-06-15 DOI: 10.2149/TMH1973.31.99
M. Fukuda, W. Choochote, O. Bain, C. Aoki, H. Takaoka
To find out the natural infection with filarial larvae, female adult black flies were collected on a human attractant in December, 2001 at Tambol Ban Laung (altitude 750 m), Doi Inthanon National Park, in northern Thailand. The total number of females collected was 823 : of which 557 (67.7%) were identified as Simulium asakoae Takaoka et Davies, 144 (17.5%) as S. nigrogilvum Summers, 97 (11.8%) as S. nakhonense Takaoka et Suzuki and 25 (3%) as other six simuliid species. By dissections, eight third-and one second-stage larvae of unidentified filarial species were found in one of 138 S. nigrogilvum and one of 484 S. asakoae, respectively. Non-filarial nematodes were found in 1.03% (5/484) of S. asakoae. This is the first report of natural infections of two black-fly species, S. nigrogilvum and S. asakoae, with a filarial larva.
2001年12月,在泰国北部因他侬Doi Inthanon国家公园的Tambol Ban lang(海拔750米)用诱蚊剂采集了雌性成年黑蝇,以查明丝虫幼虫的自然感染情况。共采集雌虫823只,其中鉴定为asakoae Simulium Takaoka et Davies 557只(67.7%),S. nigrogilvum Summers 144只(17.5%),S. nakhonense Takaoka et Suzuki 97只(11.8%),其他6种类似种25只(3%)。经解剖,138只黑丝虫虫1只、484只麻丝虫虫1只,3期幼虫8只,2期幼虫1只。非丝状线虫占1.03%(5/484)。这是首次报告两种黑蝇(黑蝇和asakoae)自然感染丝虫幼虫。
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引用次数: 54
DETECTION OF MICROORGANISMS IN TAP WATER IN INDONESIA AND THAILAND. 印度尼西亚和泰国自来水中微生物的检测。
Pub Date : 2003-06-15 DOI: 10.2149/TMH1973.31.87
S. Uga, T. Oda, K. Kimura, D. Kimura, Koesdarto Setiawan, M. Sri, Kunaruk Nuvit, N. Apakupakul
The contamination of tap water by microorganisms was surveyed at Surabaya and Jakarta, Indonesia, and at Hat Yai, Thailand. Water samples were directly collected from house faucets and filtered through membranes. The membranes were examined for protozoan parasites by immunomagnetic separation. Coliform and Escherichia coli were examined at each sample collection site using commercially available kits. A total of 115 water samples were examined and 37 (32%) were positive for any of four microorganisms which were two species of protozoa (Giardia intestinalis and Cryptosporidium parvum) and two kinds of bacteria (coliform and Escherichia coli). G. intestinalis and C. parvum were found in 9% and 1% of total samples, respectively. Of those detected, coliform was the most common and was found in all three areas with a mean detection rate of 30% (15-52%). The water samples that were positive for any of the four types of microorganisms showed a tendency to have lower residual chlorine concentrations and higher turbidities compared with negative samples. It is important to supply safe water in order to maintain people's health because most of the people surveyed (4-88%) ordinarily drank tap water without treating it. Continued efforts are needed to maintain and improve drinking water quality. (193 words)
在印度尼西亚泗水和雅加达以及泰国合艾调查了自来水受到微生物污染的情况。水样直接从家庭水龙头采集,并通过膜过滤。采用免疫磁分离法对膜进行原生动物寄生虫的检测。在每个样本采集点使用市售试剂盒检测大肠菌群和大肠杆菌。共检测了115份水样,其中37份(32%)对4种微生物均呈阳性,即2种原生动物(肠贾第虫和细小隐孢子虫)和2种细菌(大肠菌群和大肠杆菌)。大肠弧菌和小弧菌分别占总样品的9%和1%。其中大肠菌群最为常见,在3个地区均有发现,平均检出率为30%(15 ~ 52%)。与阴性样品相比,四种微生物中任何一种呈阳性的水样显示出残留氯浓度较低和浊度较高的趋势。重要的是提供安全的水,以维持人们的健康,因为大多数接受调查的人(4-88%)通常饮用未经处理的自来水。需要继续努力维持和改善饮用水质量。(193字)
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引用次数: 9
A RAPID SINGLE-STEP SCREENING METHOD FOR GLUCOSE-6-PHOSPHATE DEHYDROGENASE DEFICIENCY IN FIELD APPLICATIONS 葡萄糖-6-磷酸脱氢酶缺乏症的快速单步筛选方法
Pub Date : 2003-06-15 DOI: 10.2149/TMH1973.31.93
K. Iwai, H. Matsuoka, F. Kawamoto, M. Arai, S. Yoshida, M. Hirai, A. Ishii
The single-step screening method (SSS) is a qualitative rapid screening test for glucose-6-phosphate dehydrogenase (G6PD) deficiency based on blue formazan formation on anion-exchanger.The reaction mixture contains equal volumes of anion exchanger, substrate mixture, coloring mixture (MTT-PMS mix) and distilled water. We assessed the stability of the reaction mixture and evaluated its reliability with two anion exchangers, DEAE-Sephadex A50™ and DEAE-Sephacel™, for applications in tests under field conditions. The reaction mixture was sufficiently stable under conditions of incubation at 70°C for 6 hours or vigorous shaking for 24 hours at room temperature. The reaction mixture could be kept at 30-35°C for 14 days under indoor conditions without shielding if it contained no MTT-PMS mix. The coloring was detectable even in diluted blood with hemoglobin concentration as low as 1.6 g/dl. Under laboratory conditions, the proportion of the samples with 10% of the normal level of activity that were diagnosed as 'low activity' was higher with DEAE-Sephacel (92%) than with DEAE-Sephadex A-50 (81%) (p=0.023). The proportion of the samples with normal activity that were diagnosed as 'normal' was 98% with DEAE-Sephacel and 100% with DEAE-Sephadex A-50. In field samples obtained in Myanmar and Indonesia, the sensitivity was lower (P=0.03 using DEAE-Sephadex and p< 0.001using DEAE-Sephacel) when we used the blue formazan spot test (BFST) as the standard. Twenty-three of 27 G6PD-deficient individuals subjected to genetic analysis were found to have mutations. All individuals who had concordant results between the SSS and the blue formazan spot test (BFST) carried molecular mutations. One case of G6PD mutation was detected among four cases diagnosed as G6PD-deficient by SSS with DEAE-Sephacel™, but diagnosed as 'normal' by BFST. The costs of one test with the DEAE-Sephadex A-50™ and the DEAE-Sephacel™ system were 0.15 US dollar and 0.30 US dollar, respectively. (297 words)
单步筛选法(single-step screening method, SSS)是一种基于阴离子交换剂上生成蓝甲酰基甲酰胺的葡萄糖-6-磷酸脱氢酶(G6PD)缺乏症的定性快速筛选方法。反应混合物包含等量的阴离子交换剂、底物混合物、着色剂(MTT-PMS混合物)和蒸馏水。我们评估了反应混合物的稳定性,并评估了两种阴离子交换剂(DEAE-Sephadex A50™和DEAE-Sephacel™)在现场条件下测试应用的可靠性。反应混合物在70℃下孵育6小时或在室温下剧烈摇晃24小时的条件下都足够稳定。如果不含MTT-PMS混合物,则反应混合物可在室内条件下无屏蔽保存30-35℃14天。即使在血红蛋白浓度低至1.6 g/dl的稀释血液中也能检测到这种颜色。在实验室条件下,DEAE-Sephadex A-50检测到活性为正常水平10%的样品中,被诊断为“低活性”的比例(92%)高于DEAE-Sephadex A-50检测到的(81%)(p=0.023)。使用DEAE-Sephacel和DEAE-Sephadex A-50,具有正常活性的样品被诊断为“正常”的比例分别为98%和100%。在缅甸和印度尼西亚的实地样品中,以蓝色甲醛斑点试验(BFST)为标准,灵敏度较低(以DEAE-Sephadex为P=0.03,以DEAE-Sephacel为P < 0.001)。27名g6pd缺陷个体中有23人被发现有突变。所有在SSS和蓝色甲醛斑点试验(BFST)结果一致的个体都携带分子突变。在4例经DEAE-Sephacel™的SSS诊断为G6PD缺陷而经BFST诊断为“正常”的患者中,检测到1例G6PD突变。使用DEAE-Sephadex A-50™和DEAE-Sephacel™系统进行一次检测的费用分别为0.15美元和0.30美元。(297字)
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引用次数: 8
Phylogenetic relationships of snails of the genera Oncomelania and Tricula inferred from the mitochondrial 12S rRNA gene 从线粒体12S rRNA基因推断钉螺和三尾螺的系统发育关系
Pub Date : 2003-03-15 DOI: 10.2149/TMH1973.31.5
M. Okamoto, C. Lo, W. Tiu, D. Qui, P. Hadidjaja, S. Upatham, H. Sugiyama, T. Taguchi, H. Hirai, Y. Saito, S. Habe, M. Kawanaka, M. Hirata, T. Agatsuma
The Schistosoma japonicum group and S. sinensium utilize intermediate snail hosts belonging to the genera Oncomelania and Tricula (Gastropoda: Pomatiopsidae). In the present study, partial sequences of the mitochon- drial 12S rRNA gene from 7 subspecies of O. hupensis, two species of Tricula (T. bollingi and T. humida )a ndO. minima were examined to infer a phylogeny for these. Nucleotide differences among subspecies of O. hupensis were less than 6.5% and among species from different genera, 10-12%. The phylogenetic tree obtained in this study indicates that O. hupensis subspecies fell into four distinct clades ; that is, O. h. quadrasi from the Philip- pines, O. h. lindoensis from Indonesia, O. h. hupensis from Yunnan, China and the remaining 5 subspecies (O. h. hupensis from other parts of China, O. h. robertsoni from China, O. h. formosana from Taiwan, O. h. chiui from Taiwan and O. h. nosophora from Japan). The phylogenetic tree also showed that O. minima was placed as sister to all of the subspecies of O. hupensis. Possible evolutionary relationships among the snail hosts were discussed.
日本血吸虫类群和中国血吸虫利用属于钉螺属和三角螺属(腹足纲:Pomatiopsidae)的中间蜗牛寄主。本研究对7个湖北血吸虫亚种、2个三角虫(bollingi T.和humida T.)和ndO的线粒体12S rRNA基因的部分序列进行了分析。研究了最小值以推断它们的系统发育。湖北钉螺亚种间核苷酸差异小于6.5%,不同属种间核苷酸差异为10 ~ 12%。本研究获得的系统发育树表明,湖北钉螺亚种可分为4个不同的支系;即来自菲力松的平方木恙虫、来自印度尼西亚的林多恙虫、来自中国云南的湖北恙虫和其他5个亚种(中国其他地区的湖北恙虫、中国的罗伯逊恙虫、台湾的台湾恙虫、台湾的秋氏恙虫和日本的黑桃恙虫)。系统发育树还显示,极小叶猪与所有的猪亚种都是姊妹种。讨论了蜗牛宿主之间可能的进化关系。
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引用次数: 4
THE MALARIA VECTOR IN THE AREA SURROUNDED BY RICE FIELD IN KHAMMAOUNE PROVINCE. LAO PDR WITH THE DISCUSSION OF THE FUTURE ITM STRATEGY IN LAOS AND ALSO MEKONG AREA 哈茂恩省稻田周围地区的疟疾病媒。老挝人民民主共和国与老挝和湄公河地区未来项目战略的讨论
Pub Date : 2003-03-15 DOI: 10.2149/TMH1973.31.15
J. Kobayashi
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引用次数: 0
期刊
Japanese Journal of Tropical Medicine and Hygiene
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