Goebel Scott J, Taylor Jill, Barr Bradd C, Kiehn Timothy E, Castro-Malaspina Hugo R, Hedvat Cyrus V, Rush-Wilson Kim A, Kelly Cassandra D, Davis Stephen W, Samsonoff William A, Hurst Kelley R, Behr Melissa J, Masters Paul S
Divisions of Infectious Disease and Molecular Medicine, David Axelrod Institute, Wadsworth Center, NYSDOH, Albany, NY 12201-2002, USA.
J Virol. 2007 Nov;81(22):12709-14. doi: 10.1128/JVI.01406-07. Epub 2007 Sep 12.
An unknown virus was isolated from a lung biopsy sample and multiple other samples from a patient who developed a lethal case of pneumonia following a peripheral blood stem cell transplant. A random PCR-based molecular screening method was used to identify the infectious agent as avian paramyxovirus 1 (APMV-1; a group encompassing Newcastle disease virus), which is a highly contagious poultry pathogen that has only rarely been found in human infections. Immunohistochemical analysis confirmed the presence of APMV-1 antigen in sloughed alveolar cells in lung tissue from autopsy. Sequence from the human isolate showed that it was most closely related to virulent pigeon strains of APMV-1. This is the most completely documented case of a systemic human infection caused by APMV-1 and is the first report of an association between this virus and a fatal disease in a human.
从一名外周血干细胞移植后发生致死性肺炎患者的肺活检样本及多个其他样本中分离出一种未知病毒。采用基于随机聚合酶链反应的分子筛查方法,将该感染源鉴定为禽副黏病毒1型(APMV - 1,包括新城疫病毒的一组病毒),这是一种高度传染性的家禽病原体,在人类感染中很少发现。免疫组织化学分析证实尸检肺组织中脱落的肺泡细胞存在APMV - 1抗原。来自人类分离株的序列显示,它与APMV - 1的强毒鸽株关系最为密切。这是APMV - 1引起的全身性人类感染记录最完整的病例,也是该病毒与人类致命疾病之间关联的首次报道。