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持续性感染的本质与意义(作者译)

[Nature and significance of persistent infections (author's transl)].

作者信息

Mayr A

出版信息

MMW Munch Med Wochenschr. 1979 Jan 5;121(1):25-8.

PMID:102992
Abstract

The "persistent" viral infections, besides "subclinical" infections, pertain to the vast group of "clinically inapparent" infections. They differ from subclinical infections by a temporally unlimited "co-existence" with the pathogen. Pathogenetically, three forms of development are possible: 1. latent infections, 2. tolerated infections, 3. occult infections. Persistent viral infections are the inexhaustible reservoir for many viruses. To the organism affected they may be of benefit (infection immunity, interference, paraimmunity) or of disadvantage (activation of the infection with conversion into a disease, cause of many chronic, slowly developing disease processes, immunopathogenic consequences), the disadvantages prevailing. To the environment, persistent infections are invisible sources of danger as they produce carriers and chronic carriers.

摘要

除“亚临床”感染外,“持续性”病毒感染属于一大类“临床隐匿性”感染。它们与亚临床感染的不同之处在于与病原体在时间上无限制的“共存”。从发病机制来看,可能有三种发展形式:1. 潜伏感染;2. 耐受感染;3. 隐匿感染。持续性病毒感染是许多病毒的无尽储存库。对于受感染的机体,它们可能有益(感染免疫、干扰、类免疫)或有害(感染激活并转化为疾病、许多慢性缓慢发展疾病过程的病因、免疫致病后果),有害影响占主导。对于环境而言,持续性感染是无形的危险来源,因为它们产生携带者和慢性携带者。

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