匈牙利首例本土犬利什曼病的记录。

First record of autochthonous canine leishmaniasis in Hungary.

机构信息

Department of Parasitology and Zoology, Faculty of Veterinary Science, Szent István University, Budapest, Hungary.

出版信息

Vector Borne Zoonotic Dis. 2012 Jul;12(7):588-94. doi: 10.1089/vbz.2011.0906. Epub 2012 May 18.

Abstract

Hungary is traditionally regarded as a leishmaniasis-free country, and human or canine cases diagnosed locally have been recorded as imported. However, recent entomological surveys have verified the presence in Hungary of Phlebotomus neglectus and Phlebotomus perfiliewi perfiliewi, which have been incriminated as competent vectors of Leishmania infantum elsewhere in Europe. Following the occurrence in October 2007 of an undisputable clinical case of L. infantum canine leishmaniasis (CanL) in a 4-year-old female pug in a kennel of 20 dogs in Tolna province, an investigation was performed to assess the infection status in that canine population and to search for putative phlebotomine vectors. Another female pug became sick during the study period (May-November 2008) and L. infantum was confirmed as the causative agent. The other animals appeared clinically healthy; however, 4 additional dogs were found positive by indirect fluorescent antibody test (2 dogs), or by buffy-coat PCR (1 dog), or by both methods (1 dog). Hence the overall Leishmania infection prevalence in the kennel was 30% (6/20). All dogs were born in the same place and had been always kept outdoors. They had neither been abroad nor received a blood transfusion. No sand flies were collected with CDC Standard Miniature Light traps, Mosquito Magnet(®) X (MMX) dry ice-baited traps, or sticky traps placed either in or around the kennel and at nearby chicken yards during July and August of 2008 and 2009. Considering the dogs' historical background and the failure to trap any sand fly vectors in the kennel area, the origin of CanL in this site remains unexplained.

摘要

匈牙利传统上被认为是无利什曼病的国家,在当地诊断出的人类或犬类病例被记录为输入性病例。然而,最近的昆虫学调查证实,在匈牙利存在的白蛉和白蛉 perfiliewi perfiliewi 已被确认为欧洲其他地方利什曼原虫的有效传播媒介。2007 年 10 月,托诺省一个有 20 只狗的犬舍里的一只 4 岁雌性哈巴狗发生了无可争议的犬利什曼病(CanL)临床病例后,进行了一项调查,以评估该犬群的感染状况,并寻找可能的白蛉传播媒介。在研究期间(2008 年 5 月至 11 月),另一只雌性哈巴狗生病,确认其病原体为利什曼原虫。其他动物在临床上看起来健康,但通过间接荧光抗体试验(2 只狗)、缓冲层 PCR(1 只狗)或这两种方法(1 只狗)发现 4 只额外的狗呈阳性。因此,犬舍的总体利什曼病感染率为 30%(20 只中的 6 只)。所有的狗都出生在同一个地方,一直被养在户外。它们既没有出国,也没有接受过输血。2008 年 7 月至 8 月和 2009 年,在犬舍及其附近的鸡舍中使用 CDC 标准微型灯诱捕器、蚊子磁铁(®)X(MMX)干冰诱饵诱捕器或粘性诱捕器收集到的沙蝇数量为零。考虑到狗的历史背景和未能在犬舍区域捕获任何沙蝇传播媒介,该地点的犬利什曼病的起源仍未得到解释。

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