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非结核分枝杆菌和牛分枝杆菌作为阿根廷人类疾病的病因

Nontuberculous mycobacteria and Mycobacterium bovis as a cause of human disease in Argentina.

作者信息

Barrera L, De Kantor I N

机构信息

National Institute of Microbiology, C. Malbrán, Buenos Aires, Argentina.

出版信息

Trop Geogr Med. 1987 Jul;39(3):222-7.

PMID:3124310
Abstract

Fifteen laboratories from six regions of the country participated in the present trial covering the three years period 1982-84 during which they obtained 13544 mycobacterial cultures from 7672 patients. Of the total isolates, 437 (3.22%) were nontuberculous mycobacteria and 49 (0.36%) Mycobacterium bovis. The remaining cultures were identified as M. tuberculosis, which was the infectious agent in 7609 cases (99.17%). A further 36 cases (0.47%) were due to M. bovis and the remaining 27 to nontuberculous mycobacteria (0.35%). This last group included 26 cases due to M. avium - intracellulare - scrofulaceum complex (MAIS) and one due to M. chelonae. All these were cases in adults with pulmonary lesions except for a lymphadenitis diagnosed in a child. According to these results, the frequency of bovine tuberculosis is low in Argentina. Most of these cases were found in rural and slaughterhouse workers. Non tuberculous mycobacterioses are also of low frequency in the country.

摘要

来自该国六个地区的15个实验室参与了本次试验,试验为期三年(1982 - 1984年),在此期间,他们从7672名患者中获得了13544份分枝杆菌培养物。在所有分离株中,437株(3.22%)为非结核分枝杆菌,49株(0.36%)为牛分枝杆菌。其余培养物被鉴定为结核分枝杆菌,在7609例病例中(99.17%)它是感染源。另有36例(0.47%)由牛分枝杆菌引起,其余27例由非结核分枝杆菌引起(0.35%)。最后一组包括26例由鸟分枝杆菌 - 胞内分枝杆菌 - 瘰疬分枝杆菌复合体(MAIS)引起的病例和1例由龟分枝杆菌引起的病例。除了一名儿童被诊断为淋巴结炎外,所有这些病例均为患有肺部病变的成年人。根据这些结果,阿根廷牛结核病的发病率较低。这些病例大多发生在农村和屠宰场工人中。该国非结核分枝杆菌病的发病率也较低。

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