Adams J M
West J Med. 1975 May;122(5):380-93.
The discovery of persistent transmissible agents by veterinarians has led to striking advances in the infectious cause of neuropathies of human beings. There is evidence for persisting infection in congenital rubella and the herpes group of viruses including cytomegalovirus infections. Hepatitis types A and B are candidates for inclusion in the category of persisting viral infections. The rubeola or measles virus is established as a persistent virus which causes elevated antibodies in the serum and cerebrospinal fluid of many patients with severe demyelinating disease such as subacute sclerosing panencephalitis and multiple sclerosis. Elevated antibodies against vaccinia virus have been found in the cerebrospinal fluid of some patients with multiple sclerosis and neuromyelitis optica, a rare form of multiple sclerosis.
兽医发现持续性可传播病原体,这在人类神经病变的感染病因方面取得了显著进展。有证据表明,先天性风疹以及包括巨细胞病毒感染在内的疱疹病毒组存在持续性感染。甲型和乙型肝炎也有可能被纳入持续性病毒感染类别。麻疹病毒被确认为一种持续性病毒,它会使许多患有严重脱髓鞘疾病(如亚急性硬化性全脑炎和多发性硬化症)的患者血清和脑脊液中的抗体水平升高。在一些多发性硬化症和视神经脊髓炎(一种罕见的多发性硬化症形式)患者的脑脊液中发现了抗痘苗病毒抗体水平升高。