Woolfrey B F, Moody J A
Department of Pathology, St. Paul-Ramsey Medical Center, Minnesota 55101.
Clin Microbiol Rev. 1991 Jul;4(3):243-55. doi: 10.1128/CMR.4.3.243.
This study examines the potential of Bordetella bronchiseptica to act as a human pathogen. After encountering two patients from whom B. bronchiseptica was isolated, we searched the literature and found 23 reports in which a human infection was reported in association with B. bronchiseptica. As a basis for evaluating these cases, we summarize the literature about the current microbiological status of B. bronchiseptica, the pathology and pathogenic mechanisms associated with the microorganism, and the likelihood of it acting as a commensal or colonizer. From this review we conclude that B. bronchiseptica has been rarely isolated from humans despite their considerable exposure to animal sources. Evidence suggests that B. bronchiseptica may be rarely encountered as a commensal or colonizer of the respiratory tract of humans and rarely in association with infection. When found as a probable pathogen, most infections have been respiratory tract in origin and have occurred in severely compromised hosts.
本研究考察了支气管败血博德特氏菌作为人类病原体的可能性。在遇到两例分离出支气管败血博德特氏菌的患者后,我们查阅了文献,发现有23篇报告称人类感染与支气管败血博德特氏菌有关。作为评估这些病例的基础,我们总结了有关支气管败血博德特氏菌当前微生物学状况、与该微生物相关的病理学和致病机制,以及其作为共生菌或定植菌的可能性的文献。通过这一综述,我们得出结论,尽管人类大量接触动物源,但支气管败血博德特氏菌很少从人类中分离出来。有证据表明,支气管败血博德特氏菌作为人类呼吸道的共生菌或定植菌很少见,与感染相关的情况也很少见。当被发现为可能的病原体时,大多数感染起源于呼吸道,且发生在严重免疫受损的宿主中。