Zhou Xia, Xia Shang, Huang Ji-Lei, Tambo Ernest, Zhuge Hong-Xiang, Zhou Xiao-Nong
National Institute of Parasitic Diseases, Chinese Center for Disease Control and Prevention, WHO Collaborating Centre for Malaria, Schistosomiasis and Filariasis; Key Laboratory of Parasite & Vector Biology, Ministry of Health, Shanghai, 200025, People's Republic of China.
Department of Parasitology, Medical College of Soochow University, No.199 Renai Road, Suzhou, 215123, People's Republic of China.
Parasit Vectors. 2014 Nov 18;7:509. doi: 10.1186/s13071-014-0509-3.
Babesiosis is a typical zoonotic, emerging disease caused by a tick-borne intraerythrocytic protozoan of Babesia spp. that also can be transmitted by blood transfusion. Babesiosis imposes an increasing public-health threat. We reviewed and mapped epidemiological studies on Babesia in vectors and/or rodents in the People's Republic of China (P.R. China) and found that B. microti was the predominant species detected in the investigated regions such as Heilongjiang, Zhejiang, Fujian provinces and Taiwan island. We reviewed a series of sporadic human babesiosis cases collected from 1940's to 2013, in Yunnan, Inner Mongolia, Taiwan and Zhejiang and other regions including a main endemic area of malaria on the China-Myanmar border areas in P.R. China. Clinical manifestations of human babesiosis were also reviewed. Human babesiosis may have previously been overlooked in P.R. China due to a lack of medical awareness and the limitation of clinical diagnostic methods.
巴贝斯虫病是一种典型的人畜共患新兴疾病，由蜱传播的巴贝斯属红细胞内原生动物引起，也可通过输血传播。巴贝斯虫病对公共卫生构成的威胁日益增加。我们回顾并绘制了中华人民共和国（中国）媒介和/或啮齿动物中巴贝斯虫的流行病学研究图谱，发现微小巴贝斯虫是在黑龙江、浙江、福建等省份以及台湾岛等调查地区检测到的主要物种。我们回顾了1940年代至2013年在中国云南、内蒙古、台湾、浙江以及包括中缅边境地区疟疾主要流行区在内的其他地区收集的一系列散发性人类巴贝斯虫病病例。我们还回顾了人类巴贝斯虫病的临床表现。由于缺乏医学认识和临床诊断方法的限制，中国此前可能忽视了人类巴贝斯虫病。
