生物制剂所致肺部疾病：炭疽、鼠疫、Q热和兔热病。

Pulmonary disease from biological agents: anthrax, plague, Q fever, and tularemia.

作者信息

Daya Mohamud, Nakamura Yoko

机构信息

Department of Emergency Medicine, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd Portland, OR 97239-3098, USA.

出版信息

Crit Care Clin. 2005 Oct;21(4):747-63, vii. doi: 10.1016/j.ccc.2005.06.009.

DOI:10.1016/j.ccc.2005.06.009

PMID:16168313

Abstract

Anthrax, plague, Q fever, and tularemia are all potential inhalational bioterrorism agents. The pulmonary manifestations of these agents can be readily confused with each other as well as other more common diseases such as influenza and atypical pneumonia. This article reviews the threat potential, microbiology, pathogenesis, clinical features, diagnosis, and treatment of each of these agents and highlights the similarities and differences between their pulmonary presentations.

摘要

炭疽、鼠疫、Q热和兔热病都是潜在的吸入性生物恐怖主义制剂。这些制剂的肺部表现很容易相互混淆，也容易与其他更常见的疾病如流感和非典型肺炎相混淆。本文综述了这些制剂各自的潜在威胁、微生物学、发病机制、临床特征、诊断和治疗，并强调了它们肺部表现之间的异同。