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[1984年北京地区急性出血性结膜炎的病因学研究]

[An etiological study of acute hemorrhagic conjunctivitis in Beijing area in 1984].

作者信息

Mu G F

出版信息

Zhonghua Yan Ke Za Zhi. 1989 Jan;25(1):20-2.

PMID:2547550
Abstract

Acute hemorrhagic conjunctivitis (AHC) has been widespread in China since 1971. An etiological survey of the sporadic outbreak in Beijing was done in 1984. Conjunctival swabs and sera were collected at the Eye Clinic of Peking Union Medical College Hospital and 10 strains of virus were isolated from 46 cases by culture on the HeLa cell line. 8 strains were identified as Enterovirus 70 by homologous antiserum J 670/71 obtained from the California State Laboratory of Viral and Rickettsial Diseases. 2 other strains defied neutralization by this antiserum and were eventually identified as Adenovirus type 3 and type 7. 30 paired sera were examined for neutralization antibodies to EV 70 (J 670/71). Among these, 23 (77%) showed fourfold or higher rise in titer. Furthermore, neutralization antibodies to EV70 (J 670/71) and the EV70 isolated from 7 patients with AHC by paired sera also showed a fourfold or higher rise in antibody titer, indicating that EV70 was the etiologic agent responsible for the 1984 outbreak in Beijing.

摘要

自1971年以来,急性出血性结膜炎(AHC)在中国广泛传播。1984年对北京散发性疫情进行了病因学调查。在北京协和医院眼科门诊采集了结膜拭子和血清,通过在HeLa细胞系上培养,从46例患者中分离出10株病毒。用从加利福尼亚州病毒和立克次体病实验室获得的同源抗血清J 670/71鉴定出8株为肠道病毒70型。另外2株病毒不能被该抗血清中和,最终鉴定为3型和7型腺病毒。检测了30对血清针对EV 70(J 670/71)的中和抗体。其中,23例(77%)的滴度呈四倍或更高倍数升高。此外,通过配对血清检测针对EV70(J 670/71)的中和抗体以及从7例急性出血性结膜炎患者中分离出的EV70,抗体滴度也呈四倍或更高倍数升高,表明EV70是1984年北京疫情的病原体。

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