[海洋哺乳动物布鲁氏菌病的人畜共患可能性]。

Medecine tropicale et sante internationale Pub Date : 2024-02-19 eCollection Date: 2024-03-31 DOI:10.48327/mtsi.v4i1.2024.489
Hédia Attia El Hili, Kaouthar Maatouk
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引用次数: 0

摘要

导言:在过去二十年中,海洋哺乳动物(鲸类和针足类动物)中的布鲁氏菌病出现了非常明显的变化。目前,鲸目布鲁氏菌和针足类布鲁氏菌是海洋哺乳动物中公认的两种布鲁氏菌,但现有资料仍然有限。对序列类型(ST)和器官致病性或滋养性之间关系的研究表明,鲸目动物中的 Ceti 布鲁氏菌序列之间在致病机理上存在差异。这种疾病的人畜共患可能性基于对布鲁氏菌属在海洋环境中引入和传播的主要来源的确定,以及海洋哺乳动物和人类接触该细菌的因素:本文是一篇关于海洋哺乳动物布鲁氏菌病的文献综述,包括每种布鲁氏菌的特征、来源和传播方式,以及它们对动物和人类的潜在致病性:结论:从海洋哺乳动物中分离出了不同基因型的海洋布鲁氏菌,但没有任何证据表明这些细菌会诱发病变。相关病变多种多样,包括皮下脓肿、脑膜脑炎、肺炎、心肌炎、骨关节炎、睾丸炎、子宫内膜炎、胎盘炎和流产。从与肺部损伤有关的海洋哺乳动物呼吸道寄生虫中分离出海洋杆菌后,人们开始怀疑海洋哺乳动物可能是这种细菌的传播媒介。由于缺乏对这种疾病在海洋哺乳动物中流行情况的估计,海洋杆菌的严重程度仍不得而知。疑似人类病例的数量仍然非常有限。然而,与布鲁氏菌属其他导致反刍动物流产和人类发热和疼痛的病菌相比,预防措施至关重要。搁浅数量的大幅增加以及某些种类海洋哺乳动物的高血清流行率,必须考虑到与这些动物有直接或间接接触的人。对所有种类的搁浅海洋哺乳动物进行持续的流行病学监测和广泛的死后检查(尸体解剖、细菌学和测序),将加深对海洋布鲁氏菌人畜共患病可能性的了解。
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[Zoonotic potential of brucellosis in marine mammals].

Introduction: Brucellosis in marine mammals (cetacean and pinnipeds) has emerged in a very significant way during the last two decades. Currently Brucella ceti and Brucella pinnipedialis are the two recognized species in marine mammals, but available information is still limited. Several genotypes have been identified, and studies on the relationship between sequence type (ST) and organ pathogenicity or tropism have indicated differences in pathogenesis between B. ceti sequences in cetaceans. The zoonotic potential of this disease is based on the identification of the main sources of introduction and spread of Brucella spp. in the marine environment as well as on the factors of exposure of marine mammals and humans to the bacteria.

Bibliographic review: This article is a bibliographical review on marine mammal brucellosis, including the features, sources and transmission modes of each Brucella species, as well as their potential pathogenicity in animals and humans.

Conclusion: Different genotypes of marine Brucella spp have been isolated from marine mammal species but without any evidence of pathology induced by these bacteria. Associated lesions are variable and include subcutaneous abscesses, meningo-encephalomyelitis, pneumonia, myocarditis, osteoarthritis, orchitis, endometritis, placentitis and abortion. The isolation of marine B. spp from marine mammal respiratory parasites associated to lung injury has raised the intriguing possibility that they may serve as a vector for the transmission of this bacterium.The severity of marine B. spp remains unknown due to the lack of an estimate of the prevalence of this disease in marine mammals. The number of suspected human cases is still very limited. However, by analogy with other germs of the genus Brucella responsible for abortion in ruminants and for a febrile and painful state in human beings, prevention measures are essential. The significant increase in the number of strandings coupled with a high seroprevalence in certain species of marine mammals must be considered for people in direct or indirect contact with these animals. Ongoing epidemiological monitoring combined with extensive post-mortem examinations (necropsy, bacteriology and sequencing) of all species of stranded marine mammals would deepen knowledge on the zoonotic potential of marine Brucella species.

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