Shiraishi H
Department of Pediatrics, School of Medicine, Teikyo University.
Kansenshogaku Zasshi. 1990 Oct;64(10):1305-11. doi: 10.11150/kansenshogakuzasshi1970.64.1305.
Using a novel, highly sensitive cell culture system, B95a cells, I investigated the virus shedding of measles virus (MV) of 47 cases with natural measles. MV was isolated from both peripheral blood leukocytes and respiratory secretions up to 6 days from the onset of the rash. By fractionation of blood, MV was isolated from lymphocytes and monocytes up to 6 days from the onset of the rash, however it disappeared rapidly within 48 hours from the plasma. The duration of positive MV isolation depends on the duration of fever, i.e. infectious MV could not be recovered beyond the 24 hours after the alleviation of fever. The data suggest that in natural measles, infectious MV is shed for a longer period than previously believed. The role of infection of monocyte in the pathogenesis of measles is also suggested.
我使用一种新型的、高度敏感的细胞培养系统——B95a细胞,对47例自然感染麻疹的病例进行了麻疹病毒(MV)排毒情况的研究。从出疹之日起长达6天,均可从外周血白细胞和呼吸道分泌物中分离出MV。通过血液分级分离,从出疹之日起长达6天,均可从淋巴细胞和单核细胞中分离出MV,但在血浆中48小时内其就迅速消失。MV阳性分离的持续时间取决于发热的持续时间,即发热缓解24小时后就无法再分离出有传染性的MV。这些数据表明,在自然感染麻疹的情况下,有传染性的MV排毒时间比之前认为的更长。这也提示了单核细胞感染在麻疹发病机制中的作用。