Wittig M B, Wohlsein P, Hagen R M, Al Dahouk S, Tomaso H, Scholz H C, Nikolaou K, Wernery R, Wernery U, Kinne J, Elschner M, Neubauer H
Institut for Mikrobiologie der Bundeswehr, München, Deutschland.
Dtsch Tierarztl Wochenschr. 2006 Sep;113(9):323-30.
Since 1990 the number of glanders outbreaks in race, military and pleasure horses in Asia and South America is steadily increasing. Glanders, which is eradicated in Western Europe, Australia and Northern America, is currently considered a re-emerging disease. Consequently, the disease may be introduced into glanders-free regions by subclinical carriers at any time. The causative agent of glanders, Burkholderia (B.) mallei, is highly contagious and leads to chronic disease in horses whereas in donkeys and mules the disease is acute and often fatal. Occurrence of the disease leads to international trading restrictions and infected animals immediately have to be culled and safely disposed off. In humans B. mallei infection results in a severe clinical course, and is fatal without appropriate therapy. Its pathogenicity makes B. mallei a potential biological agent that may be used in bioterroristic attacks. Due to the eradication of glanders in the second half of the last century, veterinarians in western European countries are no longer familiar with its clinical presentation in solipeds. Having these facts in mind, this review describes the epidemiology, clinical signs, pathology and the current eradication strategy of this interesting zoonosis. Pictures of imported endurance horses infected with glanders taken during an eradication campaign in Dubai, United Arab Emirates, in 2004 illustrate most typical clinical findings.
自1990年以来,亚洲和南美洲的赛马、军马和休闲用马中鼻疽疫情数量呈稳步上升趋势。鼻疽在西欧、澳大利亚和北美已被根除,目前被视为一种再度出现的疾病。因此,该疾病随时可能通过亚临床携带者传入无鼻疽地区。鼻疽的病原体马鼻疽伯克霍尔德菌具有高度传染性,会导致马匹患慢性病,而在驴和骡中,该病为急性且往往致命。该病的出现导致国际贸易限制,感染动物必须立即扑杀并安全处置。在人类中,马鼻疽伯克霍尔德菌感染会导致严重的临床病程,若不进行适当治疗则会致命。其致病性使马鼻疽伯克霍尔德菌成为一种可能用于生物恐怖袭击的潜在生物制剂。由于上世纪下半叶已根除鼻疽,西欧国家的兽医不再熟悉其在单蹄兽中的临床表现。鉴于这些情况,本综述描述了这种有趣的人畜共患病的流行病学、临床症状、病理学及当前的根除策略。2004年在阿拉伯联合酋长国迪拜开展的一次根除行动中拍摄的感染鼻疽的进口耐力马的图片展示了最典型的临床发现。