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[一名慢跑女性遭普通鵟(Buteo buteo)袭击后感染兔热病:一则“同一健康”病例报告]

[Tularemia in a jogger woman after the attack by a common buzzard (Buteo buteo): A "One Health" case report].

作者信息

Ehrensperger F, Riederer L, Friedl A

机构信息

Institut für Veterinärpathologie, Vetsuisse-Fakultät, Universität Zürich.

Tierärztliche Praxis, Eschenbach LU.

出版信息

Schweiz Arch Tierheilkd. 2018 Mar;160(3):185-188. doi: 10.17236/sat00153.

Abstract

A female jogger was attacked by a common buzzard (Buteo buteo) and was scratched lightly at the back of the head. One week later she was taken ill with high fever and headache which was later diagnosed as ulcero-glandular tularemia in regional lymph nodes, caused by Francisella tularensis. Recovery was only achieved after several weeks of systemic antibiotic treatment (Gentamicin/ Ciprofloxacine). Tularemia is a well known zoonotic disease, called "rabbit fever", mainly affecting rabbits and hares, but also small rodents. Human infection occurs often following tick bites or bloodsucking insects, or in hunters or slaughterers handling infected animals. Bites by mice have also been reported as a cause of tularemia. For the first time we report this case of tularemia as a result of an attack by a bird of prey. We assume that the bird acted as a vector just carrying the F. tularensis on its claws or beak, but we cannot exclude an infection of the bird itself. Several other joggers had also been attacked by a common buzzard in the same area shortly after the above described event and one of these also became infected with F. tularensis.

摘要

一名女性慢跑者遭到一只普通鵟(Buteo buteo)袭击,头部后方被轻微抓伤。一周后,她出现高烧和头痛症状,后来被诊断为区域性淋巴结溃疡腺型兔热病,由土拉弗朗西斯菌(Francisella tularensis)引起。经过数周的全身抗生素治疗(庆大霉素/环丙沙星)后才康复。兔热病是一种众所周知的人畜共患病,被称为“兔热病”,主要影响兔子和野兔,也会感染小型啮齿动物。人类感染通常发生在被蜱虫或吸血昆虫叮咬之后,或者在处理受感染动物的猎人或屠宰工人中出现。也有报告称被老鼠咬伤是兔热病的病因。我们首次报告了这起因猛禽袭击而导致兔热病的病例。我们推测这只鸟只是作为一个载体,其爪子或喙上携带了土拉弗朗西斯菌,但我们不能排除这只鸟本身也受到了感染。在上述事件发生后不久,同一片区域还有其他几名慢跑者也遭到了普通鵟的袭击,其中一人也感染了土拉弗朗西斯菌。

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