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爆发具有非典型特征的牛痘疫情:需谨慎对待并及早干预!

Buffalo pox outbreak with atypical features: a word of caution and need for early intervention!

机构信息

Muzaffarnagar Medical College and Hospital, Muzaffarnagar, India; Department of Veterinary Type Culture Centre, National research Centre on Equines, Hisar, India.

出版信息

Int J Dermatol. 2013 Oct;52(10):1224-30. doi: 10.1111/ijd.12120. Epub 2013 Jul 8.

Abstract

BACKGROUND

Despite repeated outbreaks of poxvirus infections unique to the Indian subcontinent region and veterinary research work in this field, much less diagnostic awareness with resultant treatment protocols have been formulated in the human medical field.

AIMS

With this objective in mind, a combined human medical and veterinary study was conducted on a recent outbreak of buffalopox infection in a village in northern India.

METHODS

A team of doctors did the clinical examination and collected swab and serum samples from both cattle and humans, and these were subjected to viral isolation, cell culture, plaque reduction neutralization test, polymerase chain reaction, and partial genome sequencing.

RESULTS

A clustered foci of 12 human patients aged 11-60 years, 12 buffaloes, and 10 cows were found to be affected with buffalopox infection with some atypical features.

CONCLUSION

Awareness, diagnosis, education, early intervention, and formulation of disaster guidelines are needed in view of the potential epidemiologic outbreak, if this happens in the future.

摘要

背景

尽管在印度次大陆地区反复出现了独特的痘病毒感染,并且在该领域进行了兽医研究工作,但在人类医学领域,制定的诊断意识和相应的治疗方案却很少。

目的

基于此目的,对印度北部一个村庄最近发生的水牛痘感染进行了一项人类医学和兽医联合研究。

方法

一组医生进行了临床检查,并从牛和人身上采集了拭子和血清样本,这些样本进行了病毒分离、细胞培养、蚀斑减少中和试验、聚合酶链反应和部分基因组测序。

结果

发现有 12 名年龄在 11-60 岁的人类患者、12 头水牛和 10 头牛受到了水牛痘感染的聚集性影响,且具有一些非典型特征。

结论

鉴于未来可能发生的潜在流行病学爆发,需要提高认识、进行诊断、开展教育、早期干预和制定灾害指南。

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