Mahy B W, Dykewicz C, Fisher-Hoch S, Ostroff S, Tipple M, Sanchez A
Division of Viral and Rickettsial Diseases, Centers for Disease Control, Atlanta, GA 30333.
Dev Biol Stand. 1991;75:183-9.
Silent virus infections of laboratory animals present a human health hazard, from direct exposure and from contamination of biological products for human use. Here we report two recent examples. In 1989, an outbreak of lymphocytic choriomeningitis virus (LCMV) infections was recognized among workers at a cancer research center after an animal caretaker developed viral meningitis. Investigation revealed that multiple tumor cell lines at the facility were infected with LCMV, as were research animals injected with these cell lines. Of 82 workers tested, eight (10%) were found to have been infected. The infected workers were more likely than other animal handlers to report handling athymic (nude) mice (p less than .0.007). The number of nude mice used in this facilty had increased five-fold in the previous year, possibly explaining the timing of the outbreak. This is the first reported LCMV outbreak since 1975, and the first to implicate nude mice as a source of human LCMV infections. In November 1989 and January 1990, infections caused by two distinct Ebola-like filoviruses were discovered in non-human primates at quarantine facilities in Virginia and Pennsylvania. Although 22 persons were considered to have high- or medium-risk exposures for Ebola infection, no Ebola-compatible illnesses occurred. One of the medium-risk persons had Ebola IgG antibodies confirmed by IFA and Western blot. Rigorous use of barrier precautions may have limited exposure and infection with these filoviruses. In February 1990, new groups of filovirus-infected monkeys were identified in Virginia and in Texas. Seroconversion occurred in four animal handlers, including one to very high titer, but again no illness was observed.(ABSTRACT TRUNCATED AT 250 WORDS)
实验动物的无症状病毒感染对人类健康构成危害,无论是直接接触还是人类用生物制品受到污染。在此,我们报告两个近期的例子。1989年,一名动物饲养员患上病毒性脑膜炎后,一家癌症研究中心的工作人员中出现了淋巴细胞性脉络丛脑膜炎病毒(LCMV)感染疫情。调查显示,该机构的多个肿瘤细胞系感染了LCMV,注射这些细胞系的实验动物也感染了。在接受检测的82名工作人员中,有8人(10%)被发现受到感染。与其他动物饲养人员相比,受感染的工作人员更有可能报告曾处理无胸腺(裸)小鼠(p小于0.007)。该机构使用的裸鼠数量在前一年增加了五倍,这可能解释了疫情爆发的时间。这是自1975年以来首次报告的LCMV疫情,也是首次将裸鼠认定为人类LCMV感染源。1989年11月和1990年1月,在弗吉尼亚州和宾夕法尼亚州的检疫设施中,在非人类灵长类动物身上发现了由两种不同的埃博拉样丝状病毒引起的感染。尽管有22人被认为有高风险或中等风险接触埃博拉病毒,但没有出现符合埃博拉症状的疾病。一名中等风险接触者经免疫荧光分析(IFA)和蛋白质印迹法(Western blot)确认有埃博拉IgG抗体。严格使用屏障防护措施可能限制了这些丝状病毒的接触和感染。1990年2月,在弗吉尼亚州和得克萨斯州发现了新的感染丝状病毒的猴群。四名动物饲养人员出现血清转化,其中一人抗体效价非常高,但同样没有观察到疾病症状。(摘要截选至250词)