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布鲁氏菌病

Brucellosis.

作者信息

Shakir Raad

机构信息

Division of Brain Sciences, Imperial College, London, UK.

出版信息

J Neurol Sci. 2021 Jan 15;420:117280. doi: 10.1016/j.jns.2020.117280. Epub 2020 Dec 21.

Abstract

Brucellosis is a common Zoonosis affecting half a million people annually. The most common mode of infection is by consuming unpasteurized milk or milk products. The general manifestations are those of fever with generalized symptoms. The nervous system is affected in 4-7% of cases. The manifestations are protean and include meningo-encephalitis as well as peripheral nervous system involvement. The diagnosis relies on culture, which is cumbersome and can be falsely negative. Agglutination tests for the various species of the organism are the mainstay for diagnosis. Treatment is for 3-6 months with combination therapy including Doxycycline, Rifampicin and ceftriaxone. The main issue is prevention and better animal husbandry.

摘要

布鲁氏菌病是一种常见的人畜共患病,每年影响50万人。最常见的感染方式是食用未经巴氏消毒的牛奶或奶制品。一般表现为发热及全身症状。4% - 7%的病例会累及神经系统。其表现形式多样,包括脑膜脑炎以及外周神经系统受累。诊断依靠培养,但操作繁琐且可能出现假阴性结果。针对该病原体不同种类的凝集试验是诊断的主要手段。治疗采用多西环素、利福平及头孢曲松联合疗法,疗程为3至6个月。主要问题在于预防及改善畜牧业管理。

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