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一株李斯特菌在一只临床健康山羊乳腺内的慢性感染——一例病例报告。

Chronic intramammary infection by Listeria monocytogenes in a clinically healthy goat - a case report.

机构信息

Dipartimento di Medicina Veterinaria, Università degli Studi di Milano, Via G. Celoria 10, 20133, Milan, Italy.

Dipartimento di Medicina Veterinaria, Università degli Studi di Sassari, Via Vienna 2, 07100, Sassari, Italy.

出版信息

BMC Vet Res. 2019 Jul 5;15(1):229. doi: 10.1186/s12917-019-1989-3.

Abstract

BACKGROUND

Listeria monocytogenes is a ubiquitous Gram-positive bacterium responsible for a severe foodborne disease in humans, and contaminated dairy products can be an important source of infection. Typically, infected dairy ruminants show clinical manifestations including encephalitis, septicemia, abortion, and diarrhea, but may also become asymptomatic carriers and shed L. monocytogenes in the feces acting as an important source of viable bacteria. Isolation from individual goat milk has been documented very rarely, and chronic, asymptomatic intramammary infection by L. monocytogenes with continuous milk shedding of viable bacteria has never been described in this dairy species.

CASE PRESENTATION

At the routine controls, cheese and bulk milk were positive for L. monocytogenes in a herd of 200 lactating Alpine goats, but none showed clinical signs of listeriosis. Individual milk was subjected to bacterial culture and a clinically healthy goat was identified as affected by a chronic intramammary infection (IMI) by L. monocytogenes. The goat had never shown clinical signs of mastitis or other diseases. Her right half-udder milk was positive to L. monocytogenes in two consecutive samples collected one week apart, as demonstrated by bacterial culture and molecular analysis. Mammary tissues collected after culling were also positive to L. monocytogenes by culture. Histological examination highlighted a chronic interstitial mastitis with leukocyte infiltration, atrophy of the alveoli and presence of corpora amylacea. Immunohistochemistry (IHC) and immunofluorescence (IF) confirmed the presence of high numbers of bacteria in the lumen of mammary alveoli, with intracellular bacteria mainly located in macrophages, but also present in neutrophils and epithelial cells. After culling of the positive goat, bulk tank milk tested negative to L. monocytogenes at the following controls.

CONCLUSION

This study demonstrates that L. monocytogenes can establish a chronic, subclinical IMI in goats with high numbers of bacteria shed in milk, representing a source of contamination for the herd and its dairy products. This underscores the importance of frequently monitoring all dairy herds that sell directly milk and/or fresh cheese and indicates that a chronic L. monocytogenes IMI should also be considered as source of bacteria when bulk tank milk contamination is detected in a dairy goat farm.

摘要

背景

单核细胞增生李斯特菌是一种普遍存在的革兰氏阳性菌,可导致人类严重的食源性疾病,受污染的乳制品可能是感染的重要来源。通常,受感染的乳制品反刍动物会出现脑炎、败血症、流产和腹泻等临床症状,但也可能成为无症状携带者,并在粪便中排出李斯特菌,成为有活力细菌的重要来源。从个体山羊奶中分离出来的情况非常罕见,而李斯特菌慢性、无症状的乳腺内感染并持续排出有活力的细菌在该乳制品物种中从未被描述过。

病例介绍

在一个 200 头泌乳阿尔卑斯山羊的畜群中,奶酪和散装牛奶的例行检测结果呈李斯特菌阳性,但没有一头出现李斯特菌病的临床症状。对个体牛奶进行细菌培养,发现一头临床健康的山羊患有李斯特菌慢性乳腺内感染(IMI)。这只山羊从未出现过乳腺炎或其他疾病的临床症状。她的右侧半乳牛奶在相隔一周的两次连续样本中均呈李斯特菌阳性,细菌培养和分子分析结果均证实。屠宰后采集的乳腺组织也通过培养呈李斯特菌阳性。组织学检查显示慢性间质性乳腺炎,白细胞浸润,肺泡萎缩,存在淀粉样小体。免疫组织化学(IHC)和免疫荧光(IF)证实大量细菌存在于乳腺肺泡腔中,胞内细菌主要位于巨噬细胞中,但也存在于中性粒细胞和上皮细胞中。阳性山羊被屠宰后,随后的常规检测中散装奶中未检出李斯特菌。

结论

本研究表明,李斯特菌可在产奶量高的山羊中建立慢性、亚临床 IMI,大量细菌从牛奶中排出,成为畜群及其乳制品的污染来源。这突出表明经常监测所有直接销售牛奶和/或新鲜奶酪的乳制品畜群的重要性,并表明在乳制品山羊农场检测到散装奶污染时,也应将慢性李斯特菌 IMI 视为细菌来源。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ccea/6612115/0d8ed17367bc/12917_2019_1989_Fig1_HTML.jpg

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