猫抓病与节肢动物传播媒介：不仅仅是抓伤那么简单？
Cat scratch disease and arthropod vectors: more to it than a scratch?
机构信息
Third World Veterinary, Fountain Hills, AZ, USA.
出版信息
J Am Board Fam Med. 2010 Sep-Oct;23(5):685-6. doi: 10.3122/jabfm.2010.05.100025.
PURPOSE
Cat scratch disease is a common infection, particularly in children, and clinicians need to be aware of its potential transmission to humans by arthropod vectors such as fleas and ticks in addition to animal bites and scratches. The absence of a vertebrate bite or scratch does not preclude infection with Bartonella henselae.
METHODS
Literature regarding arthropod transmission of B. henselae was reviewed.
RESULTS
B. henselae and related bacterial species are transmitted among cats and dogs by arthropod vectors. In the absence of these vectors, disease does not spread amongst the animals. On the other hand, disease can be spread to humans by bite and scratch as well as by arthropod vectors. Animals commonly infected with B. henselae and arthropod vectors are discussed.
CONCLUSIONS
Clinicians should be aware that a common illness, cat scratch disease, can be transmitted by arthropod vectors and a history of an animal scratch or bite is not necessary for disease transmission.
目的
猫抓病是一种常见的感染，尤其在儿童中更为常见，临床医生需要意识到，除了动物咬伤和抓伤之外，节肢动物媒介（如跳蚤和蜱）也可能将其传播给人类。没有脊椎动物咬伤或抓伤并不排除感染汉赛巴尔通体。
方法
回顾了有关汉赛巴尔通体通过节肢动物传播的文献。
结果
汉赛巴尔通体和相关细菌物种通过节肢动物媒介在猫和狗之间传播。如果没有这些媒介，疾病不会在动物之间传播。另一方面，疾病可以通过节肢动物媒介以及咬伤和抓伤传播给人类。讨论了常见感染汉赛巴尔通体的动物和节肢动物媒介。
结论
临床医生应该意识到，一种常见疾病，即猫抓病，可通过节肢动物媒介传播，并且疾病传播不一定需要有动物抓挠或咬伤的病史。
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