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白尾鹿的自然发生型结核病。

Naturally occurring tuberculosis in white-tailed deer.

作者信息

Palmer M V, Whipple D L, Payeur J B, Alt D P, Esch K J, Bruning-Fann C S, Kaneene J B

机构信息

Zoonotic Diseases Research Unit, USDA, Ames, IA 50010, USA.

出版信息

J Am Vet Med Assoc. 2000 Jun 15;216(12):1921-4. doi: 10.2460/javma.2000.216.1921.

Abstract

OBJECTIVE

To determine the distribution of lesions and extent of tissues infected with Mycobacterium bovis in a captive population of white-tailed deer.

DESIGN

Cross-sectional study.

ANIMALS

116 captive white-tailed deer.

PROCEDURE

Deer were euthanatized, and postmortem examinations were performed. Tissues with gross lesions suggestive of tuberculosis were collected for microscopic analysis and bacteriologic culture. Tissues from the head, thorax, and abdomen of deer with no gross lesions were pooled for bacteriologic culture. Tonsillar, nasal, oral, and rectal swab specimens, fecal samples, and samples of hay and pelleted feed, soil around feeding sites, and water from 2 natural ponds were collected for bacteriologic culture.

RESULTS

Mycobacterium bovis was isolated from 14 of 116 (12%) deer; however, only 9 of 14 had lesions consistent with tuberculosis. Most commonly affected tissues included the medial retropharyngeal lymph node and lung. Five of 14 tuberculous deer had no gross lesions; however, M bovis was isolated from pooled tissue specimens from the heads of each of these deer. Bacteriologic culture of tonsillar swab specimens from 2 of the infected deer yielded M bovis. Mean (+/- SEM) age of tuberculous deer was 2.5 +/- 0.3 years (range, 0.5 to 6 years). Mycobacterium bovis was not isolated from feed, soil, water, or fecal samples.

CONCLUSIONS AND CLINICAL RELEVANCE

Examination of hunter-killed white-tailed deer for tuberculosis commonly includes only the lymph nodes of the head. Results of such examinations may underestimate disease prevalence by as much as 57%. Such discrepancy should be considered when estimating disease prevalence.

摘要

目的

确定圈养白尾鹿群中牛分枝杆菌感染的病变分布及受感染组织的范围。

设计

横断面研究。

动物

116只圈养白尾鹿。

方法

对鹿实施安乐死并进行尸检。收集有提示结核病肉眼病变的组织用于显微镜分析和细菌培养。将无肉眼病变的鹿的头部、胸部和腹部组织合并进行细菌培养。收集扁桃体、鼻腔、口腔和直肠拭子标本、粪便样本、干草和颗粒饲料样本、喂食点周围的土壤以及两个天然池塘的水用于细菌培养。

结果

116只鹿中有14只(12%)分离出牛分枝杆菌;然而,14只中只有9只具有与结核病相符的病变。最常受影响的组织包括咽后内侧淋巴结和肺。14只患结核病的鹿中有5只无肉眼病变;然而,从这些鹿每只的头部合并组织标本中分离出了牛分枝杆菌。对2只受感染鹿的扁桃体拭子标本进行细菌培养,培养出牛分枝杆菌。患结核病鹿的平均(±标准误)年龄为2.5±0.3岁(范围为0.5至6岁)。在饲料、土壤、水或粪便样本中未分离出牛分枝杆菌。

结论及临床意义

对猎人捕杀的白尾鹿进行结核病检查通常仅包括头部淋巴结。此类检查结果可能会使疾病患病率低估多达57%。在估计疾病患病率时应考虑到这种差异。

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