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腺病毒

Adenoviruses

作者信息

Usman Norina, Suarez Manuel

机构信息

VA palo alto Stanford CA

Westchester General Hospital

Abstract

The adenoviruses are DNA viruses common in animals and humans, frequently occurring in adults and children. There are more than 100 serologically different adenovirus types, with 49 types that infect humans. Adenoviridae is separated into 2 genera: the avian adenoviruses (aviadenoviruses) and the mammalian adenoviruses (mastadenovirus). Adenovirus is ubiquitous in animals, and in human populations, they may last long periods outside of a host, endemic throughout the year. Based on various serotypes, adenovirus is known as the etiologic mediator of multiple syndromes. It is spread via aerosolized droplets, direct inoculation to the conjunctiva, exposure to infected tissue, blood, and fecal-oral route. The virus infects multiple organ systems, though most infections are asymptomatic. Adenovirus is recognized to be oncogenic in rodents, but it has not yet been observed in humans. Adenovirus infections are self-limited in immunocompetent individuals, requiring only supportive measures. However, in immunocompromised individuals, the spectrum of disease is much more extensive, with outcomes potentially being fatal.

摘要

腺病毒是动物和人类常见的DNA病毒,在成人和儿童中经常出现。有100多种血清学不同的腺病毒类型,其中49种感染人类。腺病毒科分为2个属:禽腺病毒(禽腺病毒属)和哺乳动物腺病毒(哺乳动物腺病毒属)。腺病毒在动物中普遍存在,在人类群体中,它们可以在宿主外长期存活,全年呈地方性流行。基于各种血清型,腺病毒是多种综合征的病因介质。它通过雾化飞沫、直接接种到结膜、接触受感染组织、血液和粪口途径传播。该病毒感染多个器官系统,不过大多数感染是无症状的。腺病毒被认为在啮齿动物中具有致癌性,但在人类中尚未观察到。腺病毒感染在免疫功能正常的个体中是自限性的,仅需支持性措施。然而,在免疫功能低下的个体中,疾病谱要广泛得多,后果可能是致命的。

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