Callejo Raquel, Zheng Han, Du Pengcheng, Prieto Monica, Xu Jianguo, Zielinski Gustavo, Auger Jean-Philippe, Gottschalk Marcelo
Instituto Nacional de Enfermedades Infecciosas, Buenos Aires, Argentina.
Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, State Key Laboratory for Infectious Disease Prevention and Control, National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control, Changping, Beijing, PR China.
JMM Case Rep. 2016 Oct 31;3(5):e005066. doi: 10.1099/jmmcr.0.005066. eCollection 2016 Oct.
serotype 2 is an important swine pathogen and emerging zoonotic agent causing meningitis and septicemia/septic shock. Strains are usually virulent (Eurasia) or of intermediate/low virulence (North America). Very few data regarding human and swine isolates from South America are available.
Seventeen new human cases in Argentina (16 serotype 2 strains and a serotype 5 strain) are reported. Alongside, 14 isolates from pigs are analyzed: 12 from systemic disease, one from lungs and one from tonsils of a healthy animal. All human serotype 2 strains and most swine isolates are sequence type (ST) 1, as determined by multilocus sequence typing and present a genotype typical of virulent Eurasian ST1 strains. The remaining two strains (recovered from swine lungs and tonsils) are ST28 and possess a genotype typical of low virulence North American strains. Representative human ST1 strains as well as one swine ST28 strain were analyzed by whole-genome sequencing and compared with genomes from GenBank. ST1 strains clustered together with three strains from Vietnam and this cluster is close to another one composed of 11 strains from the United Kingdom.
Close contact with pigs/pork products, a good surveillance system, and the presence of potentially virulent Eurasian-like serotype 2 strains in Argentina may be an important factor contributing to the higher number of human cases observed. In fact, Argentina is now fifth among Western countries regarding the number of reported human cases after the Netherlands, France, the UK and Poland.
2型血清型是一种重要的猪病原体,也是一种新出现的人畜共患病原体,可引起脑膜炎和败血症/感染性休克。菌株通常具有高致病性(欧亚地区)或中等/低致病性(北美地区)。关于南美洲人类和猪分离株的资料非常少。
报告了阿根廷的17例新的人类病例(16株2型血清型菌株和1株5型血清型菌株)。同时,分析了14株猪分离株:12株来自全身性疾病,1株来自肺部,1株来自健康动物的扁桃体。通过多位点序列分型确定,所有人类2型血清型菌株和大多数猪分离株均为序列型(ST)1,呈现出高致病性欧亚ST1菌株的典型基因型。其余两株(从猪肺和扁桃体中分离得到)为ST28,具有低致病性北美菌株的典型基因型。通过全基因组测序分析了代表性的人类ST1菌株以及一株猪ST28菌株,并与GenBank中的基因组进行了比较。ST1菌株与来自越南的三株菌株聚集在一起,该聚类与由来自英国的11株菌株组成的另一个聚类相近。
与猪/猪肉产品的密切接触、良好的监测系统以及阿根廷存在潜在高致病性的欧亚样2型血清型菌株可能是导致观察到的人类病例数较多的一个重要因素。事实上,就报告的人类病例数而言,阿根廷目前在西方国家中排名第五,仅次于荷兰、法国、英国和波兰。