Department of Pathobiology, Science and Research Branch, Islamic Azad University, Tehran, Iran.
Department of Microbiology, Pasteur Institute of Iran, Tehran, Iran; National Reference Laboratory for Plague, Tularemia and Q fever, Research Centre for Emerging and Reemerging infectious diseases, Pasteur Institute of Iran, Akanlu, Kabudar-Ahang, Hamadan, Iran.
Comp Immunol Microbiol Infect Dis. 2021 Feb;74:101598. doi: 10.1016/j.cimid.2020.101598. Epub 2020 Nov 25.
Tularemia is a zoonotic disease that transmitted to humans and domestic animals by wildlife, especially rodents. There are some evidences of the circulation of F. tularensis in rodents, livestock, human populations, and surface waters in western parts of Iran. In this study, we investigated the exposure of livestock and ranchers to F. tularensis in the endemic regions of western Iran. Blood samples were collected from 289 sheep, 103 cattle, and 51 ranchers in 2018. Animal sera were tested by standard tube agglutination method. The specific IgGs against F. tularensis were evaluated by ELISA in human sera. Moreover, the extracted DNAs from 50 sheep spleen samples were evaluated using TaqMan real-time PCR for the presence of ISFtu2 and FopA genes. All animal sera and spleen samples were negative for tularemia. Of the 51 human samples, two samples were seropositive and one sample showed a borderline status for tularemia. Serologic evidence of F. tularensis in the ranchers but negative results in the livestock indicates different transmission routes in human populations and domestic animals in western Iran. Therefore, drinking contaminated water, contact to wildlife or rodents and arthropod bite should be considered as probable routes in the suspicious areas.
兔热病是一种人畜共患病,通过野生动物(尤其是啮齿动物)传播给人类和家畜。有一些证据表明,在伊朗西部的一些地区,弗氏土拉弗朗西斯菌在啮齿动物、牲畜、人群和地表水之间循环。在这项研究中,我们调查了伊朗西部地方性流行地区家畜和牧场主接触弗氏土拉弗朗西斯菌的情况。2018 年,从 289 只绵羊、103 头牛和 51 名牧场主中采集了血液样本。用标准试管凝集法检测动物血清。用 ELISA 法检测人血清中针对弗氏土拉弗朗西斯菌的特异性 IgG。此外,从 50 份绵羊脾脏样本中提取的 DNA 使用 TaqMan 实时 PCR 检测 ISFtu2 和 FopA 基因的存在情况。所有动物血清和脾脏样本均为兔热病阴性。在 51 个人类样本中,有 2 个样本血清学呈阳性,1 个样本兔热病呈临界状态。牧场主存在土拉弗朗西斯菌血清学证据,但家畜呈阴性,这表明在伊朗西部,人类和家畜的传播途径不同。因此,在可疑地区,应考虑饮用污染水、接触野生动物或啮齿动物以及节肢动物叮咬等可能的途径。