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埃及部分农村地区啮齿动物锥虫属的监测及其通过跳蚤传播概率的研究

SURVEILLANCE OF TRYPANOSOMA SPP OF RODENTS AND STUDIES IN THEIR TRANSMISSION PROBABILITY BY FLEAS IN SOME RURAL EGYPTIAN AREAS.

作者信息

Dahesh Salwa M A, Mikhail Micheal W

出版信息

J Egypt Soc Parasitol. 2016 Apr;46(1):157-66. doi: 10.12816/0026161.

Abstract

A new public health problem arises from animal trypanosomes that afflict human by a disease called atypical human trypanosomiasis. Although humans have an innate protection against most Trypanosoma species, nineteen cases of atypical human trypanosomiasis caused by the animal trypanosome as T. b. brucei, T. vivax, T. congolense, T. evansi and T. lewisi have been recorded. Some of theserecorded cases were transient, six required trypanocidal treatments however two patients died. Rodent trypanosome, T. lewisi is transmitted via ingestion of fleas or their feces containing the infective stage, the metacyclic trypomastigote. Because of the high densities of various species of rodents and their distribution all over the country especially in rural areas, the present work aimed to evaluate the trypanosomiasis among rodents collected from November to March 2016 and study transmission probability by their fleas in some rural areas in Abu Alnomros Center, Giza. The overall trypanosomiasis prevalence among the different rodent species was (21 rats) 24.7%. All the infected rats belonged to Rattus r. spp where the prevalence of infection with Trypanosoma lewisi among that species was very high 51.2% while none of rats belonged to Rattus norvegicus were infected. That may be attributed to the solid immunity gained by the R. norvegicus where most of the collected norvegicus were aged and weighed more than 200 grams. There was an inverse significant correlation between the densities of parasites and the weights of the losts. The rat which recorded the highest parasite density (60,000 parasites/microliter) was a female Rattus r. captured indoor (inside house). As to sex of Rattus rattus spp no significant difference was found between males and females in trypanosomiasis. Also there was no significant correlation between the densities of parasites and the number of white blood cells among Rattus rattus spp. All positive rats were collected indoors (from houses) and all the rats which were captured from outdoors (farms) were negative for T. lewisi. The difference between infections with trypanosomiasis among rats inhabited the houses and that found in farms was highly significant. Only two species of fleas were found on rats, Xenopsylla cheopis and Leptopsylla segnis. The oriental fleas, X cheopis, were found mainly on R. norvegicus where 57.5% of R. norvegicus were positive for X cheopis while only one rat was positive for L. segnis. On other hand the rat fleas, L. segnis, were found mainly on Rattus rattus spp where 39% of these rats were positive for L. segnis. The present work revealed a significant correlation between the infection with T. lewisi, and the presence of L. segnis on the rats however that correlation regarding X. cheopis was not significant.

摘要

动物锥虫引发了一个新的公共卫生问题,它们通过一种名为非典型人类锥虫病的疾病感染人类。尽管人类对大多数锥虫物种具有先天的保护能力,但已记录到19例由动物锥虫如布氏锥虫、活跃锥虫、刚果锥虫、伊氏锥虫和刘易斯锥虫引起的非典型人类锥虫病病例。其中一些记录的病例是短暂的,6例需要进行杀锥虫治疗,然而有两名患者死亡。啮齿动物锥虫,即刘易斯锥虫,通过摄入含有感染阶段(循环后期锥鞭毛体)的跳蚤或其粪便传播。由于各种啮齿动物物种的高密度分布以及它们在全国尤其是农村地区的广泛分布,本研究旨在评估从2016年11月至3月收集的啮齿动物中的锥虫病情况,并研究其跳蚤在吉萨省阿布·阿尔诺姆斯中心一些农村地区的传播概率。不同啮齿动物物种中锥虫病的总体患病率为(21只大鼠)24.7%。所有感染的大鼠都属于黑家鼠属,该物种中刘易斯锥虫的感染率非常高,为51.2%,而褐家鼠属的大鼠均未感染。这可能归因于褐家鼠获得的强大免疫力,因为大多数收集到的褐家鼠年龄较大且体重超过200克。寄生虫密度与宿主体重之间存在显著的负相关。寄生虫密度最高(60,000个寄生虫/微升)的大鼠是一只在室内(房屋内)捕获的雌性黑家鼠。至于黑家鼠的性别,在锥虫病方面雄性和雌性之间没有发现显著差异。在黑家鼠中,寄生虫密度与白细胞数量之间也没有显著相关性。所有阳性大鼠均在室内(从房屋中)收集,而所有从室外(农场)捕获的大鼠对刘易斯锥虫均为阴性。居住在房屋中的大鼠与农场中发现的大鼠在锥虫病感染方面的差异非常显著。在大鼠身上仅发现了两种跳蚤,即印鼠客蚤和缓慢细蚤。东方跳蚤,即印鼠客蚤,主要在褐家鼠身上发现,其中57.5%的褐家鼠对印鼠客蚤呈阳性,而只有一只大鼠对缓慢细蚤呈阳性。另一方面,鼠蚤,即缓慢细蚤,主要在黑家鼠属身上发现,其中39%的这些大鼠对缓慢细蚤呈阳性。本研究揭示了刘易斯锥虫感染与大鼠身上缓慢细蚤的存在之间存在显著相关性,然而关于印鼠客蚤的相关性并不显著。

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