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捷克共和国发生的由猫和狗传播的人畜共患病感染疫情。

An Outbreak of Zoonotic Infections in the Czech Republic Transmitted from Cats and Dogs.

作者信息

Lysková Pavlína, Dobiáš Radim, Čmoková Adéla, Kolařík Miroslav, Hamal Petr, Šmatláková Kateřina, Hušek Jan, Mencl Karel, Mallátová Nad'a, Poláčková Zora, Krnáčová Anežka, Palkovičová Kristýna, Jablonská Daniela, Macháčová Jitka, Drlík Zdeněk, Bázsóová Denisa, Jaworská Pavla, Svobodová Lucie, Hubka Vit

机构信息

Department of Parasitology, Mycology and Mycobacteriology, Public Health Institute in Ústí nad Labem, 186 00 Prague, Czech Republic.

Department of Bacteriology and Mycology, Public Health Institute Ostrava, 702 00 Ostrava, Czech Republic.

出版信息

J Fungi (Basel). 2021 Aug 25;7(9):684. doi: 10.3390/jof7090684.

Abstract

a zoophilic dermatophyte mostly known as the causative agent of rodent favus, is relatively rarely reported to cause human infections. Indeed, no infections were detected in Czechia between 2012 and 2015 despite routine verification of species identification by ITS rDNA sequencing. By contrast, 25 human and 11 animal cases of infection were documented from December 2016 to December 2020 and the rates tended to grow every following year. Interestingly, most of the cases were reported in the Olomouc region, suggesting a local outbreak. We bring the evidence that human infections are most commonly contracted from infected cats or, less frequently, dogs. Although rodents or contaminated soil and environment could be the source of infection to cats and dogs, the occurrence of infections in multiple animals in the same household suggests direct transmission among animals. Confirmation of the identification by molecular methods is highly recommended due to morphological similarity with . Antifungal susceptibility testing of isolates to eight antifungals was performed using EUCAST methodology (E.Def 11.0). Among the tested antifungals, terbinafine, amorolfine, ciclopirox and efinaconazole were most potent in vitro and elevated minimum inhibitory concentrations were obtained for fluconazole and ketoconazole.

摘要

一种主要作为啮齿动物黄癣病原体为人所知的亲动物性皮肤癣菌,相对较少报道会引起人类感染。事实上,尽管在2012年至2015年期间通过ITS rDNA测序对物种鉴定进行了常规核查,但在捷克未检测到感染病例。相比之下,2016年12月至2020年12月记录了25例人类感染病例和11例动物感染病例,且随后每年的发病率都有上升趋势。有趣的是,大多数病例报告发生在奥洛穆茨地区,提示存在局部暴发。我们提供的证据表明,人类感染最常见的途径是接触受感染的猫,或较少见的接触受感染的狗。虽然啮齿动物或受污染的土壤及环境可能是猫和狗的感染源,但同一家庭中多只动物发生感染表明动物之间存在直接传播。由于其与……形态相似,强烈建议通过分子方法进行鉴定确认。使用EUCAST方法(E.Def 11.0)对分离株进行了八种抗真菌药物的药敏试验。在所测试的抗真菌药物中,特比萘芬、阿莫罗芬、环吡酮和艾氟康唑在体外活性最强,氟康唑和酮康唑的最低抑菌浓度升高。

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