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东北太平洋和加拿大北极地区海洋哺乳动物中的海豹链球菌:85例尸检调查的回顾性分析

STREPTOCOCCUS PHOCAE IN MARINE MAMMALS OF NORTHEASTERN PACIFIC AND ARCTIC CANADA: A RETROSPECTIVE ANALYSIS OF 85 POSTMORTEM INVESTIGATIONS.

作者信息

Taurisano Nicole D, Butler Brian P, Stone Diana, Hariharan Harry, Fields Paul J, Ferguson Hugh W, Haulena Martin, Cotrell Paul, Nielsen Ole, Raverty Stephen

机构信息

1   Department of Pathobiology, St. George's University, School of Veterinary Medicine, True Blue, St. George, Grenada, West Indies.

2   Windward Islands Research and Education Foundation, True Blue, St. George, Grenada, West Indies.

出版信息

J Wildl Dis. 2018 Jan;54(1):101-111. doi: 10.7589/2016-09-208. Epub 2017 Oct 5.

Abstract

:  Streptococcus phocae is a pathogen of marine mammals, although its pathogenicity remains poorly understood. Recovery of this bacterium from asymptomatic carriers suggests that it is an opportunistic pathogen. We investigated the role of S. phocae in naturally occurring disease and its significance as a pathogen based on postmortem investigations. Between 2007 and 2012, 1,696 whole carcasses, tissue samples, or both were submitted from the northeastern Pacific and Arctic Canada for diagnostic testing. Streptococcus phocae was cultured from phocids ( n=66), otariids ( n=12), harbor porpoises ( Phocoena phocoena; n=5), and sea otters ( Enhydra lutris; n=2). Pathologic manifestations of S. phocae-associated disease included localized, as well as systemic, inflammatory lesions with common findings of suppurative bronchopneumonia ( n=17) and bacteremia ( n=27). Lung lesions were frequently culture-positive for S. phocae, suggesting commensal colonization of the oropharynx with subsequent opportunistic infection of the respiratory tract during tissue injury, coinfection, immunosuppression, or other debilitating conditions. The presence of a positive spleen culture, and interpretations at necropsy and histopathology, were used to determine the presence of S. phocae bacteremia. Less frequent lesions that were culture positive for S. phocae included abscesses ( n=9), meningitis ( n=7), and cellulitis ( n=1). The majority of cases with S. phocae lesions featured pre-existing conditions that presumably contributed to some degree of debilitation or immunosuppression, including emaciation ( n=29), liver mercury accumulation ( n=29), trauma ( n=22), severe pulmonary or cardiovascular nematodiasis ( n=9), concurrent bacterial or viral infections ( n=8), or sarcocystosis ( n=6). These findings suggest that S. phocae could be characterized as an opportunistic pathogen, associated with debilitating conditions in stranded and rehabilitating marine mammals. Wildlife investigators can use these results to draw more definitive conclusions regarding positive S. phocae cultures during postmortem studies in marine mammals.

摘要

北海狗链球菌是海洋哺乳动物的一种病原体,不过其致病性仍了解甚少。从无症状携带者体内分离出这种细菌表明它是一种机会致病菌。我们基于尸检调查研究了北海狗链球菌在自然发生疾病中的作用及其作为病原体的重要性。2007年至2012年间,从加拿大东北太平洋和北极地区提交了1696具完整尸体、组织样本或两者用于诊断检测。从海豹(n = 66)、海狮(n = 12)、港湾鼠海豚(Phocoena phocoena;n = 5)和海獭(Enhydra lutris;n = 2)中培养出了北海狗链球菌。北海狗链球菌相关疾病的病理表现包括局部和全身性炎症病变,常见的有化脓性支气管肺炎(n = 17)和菌血症(n = 27)。肺部病变的北海狗链球菌培养结果常呈阳性,这表明口咽部存在共生菌定植,随后在组织损伤、合并感染、免疫抑制或其他衰弱状况下呼吸道发生机会性感染。脾脏培养阳性以及尸检和组织病理学的判断结果用于确定北海狗链球菌菌血症的存在。北海狗链球菌培养呈阳性的较不常见病变包括脓肿(n = 9)、脑膜炎(n = 7)和蜂窝织炎(n = 1)。大多数有北海狗链球菌病变的病例都有先前存在的状况,这些状况可能在一定程度上导致了衰弱或免疫抑制,包括消瘦(n = 29)、肝脏汞蓄积(n = 29)、创伤(n = 22)、严重的肺部或心血管线虫病(n = 9)、并发细菌或病毒感染(n = 8)或肉孢子虫病(n = 6)。这些发现表明北海狗链球菌可被归类为机会致病菌,与搁浅和康复中的海洋哺乳动物的衰弱状况有关。野生动物研究人员可以利用这些结果在海洋哺乳动物的尸检研究中就北海狗链球菌培养阳性得出更明确的结论。

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