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病例报告:流产的单峰骆驼胎儿先天性结核病。

Case Report: Congenital tuberculosis in an aborted dromedary camel fetus.

作者信息

Narnaware Shirish Dadarao, Jyotsana Basanti, Ranjan Rakesh, Prakash Ved, Choudhary Shyam Sundar, Sahoo Artabandhu

机构信息

ICAR-National Research Centre on Camel, Bikaner, Rajasthan, India.

出版信息

Front Vet Sci. 2022 Jul 28;9:956368. doi: 10.3389/fvets.2022.956368. eCollection 2022.

DOI:10.3389/fvets.2022.956368
PMID:35968023
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9368318/
Abstract

Tuberculosis (TB) is a serious public health problem worldwide, especially in tropical developing countries. Nevertheless, reports on congenital TB in humans and animals are extremely rare. In this study, abortion was reported in an 8-year-old she-camel at the 9th month of gestation. The she-camel appeared healthy in clinical examination, had a good body condition score, normal appetite, and had no signs of respiratory disease and fever. The expelled placenta was dark red-colored, thickened, and edematous with multifocal to coalescing ecchymotic hemorrhages on the allantoic surface. The striking finding was multiple, white-yellow, solid nodular lesions in the fetal lung, the pleura, and the liver. On histopathology, typical granulomatous lesions were detected in the lung and the liver characterized by caseous necrosis surrounded by lymphocyte and macrophage infiltration and concentric layers of fibrosis. The Ziehl-Neelsen staining detected scarce acid-fast bacilli in lung and liver tissues. The DNA extracted from tubercular lesions from the lung and liver showed amplification of the IS6110 region of the complex by PCR. The sequencing and phylogenetic analysis revealed a close association of these sequences with . The she-camel was detected positive for a single intradermal tuberculin test performed 24 h after abortion. This is the first report on congenital TB caused by in a dromedary camel fetus with a possible vertical transmission.

摘要

结核病(TB)是全球严重的公共卫生问题,在热带发展中国家尤为突出。然而,关于人类和动物先天性结核病的报道极为罕见。在本研究中,一头8岁母骆驼在妊娠第9个月时出现流产。该母骆驼在临床检查中看起来健康,身体状况评分良好,食欲正常,无呼吸系统疾病和发热迹象。排出的胎盘呈暗红色,增厚且水肿,尿囊表面有多灶性至融合性瘀斑出血。显著发现是胎儿肺、胸膜和肝脏中有多个白色黄色实性结节性病变。组织病理学检查显示,肺和肝脏中检测到典型的肉芽肿性病变,其特征为干酪样坏死,周围有淋巴细胞和巨噬细胞浸润以及同心层纤维化。齐-尼氏染色在肺和肝组织中检测到少量抗酸杆菌。从肺和肝结核病变中提取的DNA经聚合酶链反应(PCR)显示复合菌的IS6110区域有扩增。测序和系统发育分析表明这些序列与……密切相关。流产后24小时进行的单次皮内结核菌素试验检测到该母骆驼呈阳性。这是关于单峰骆驼胎儿由……引起先天性结核病并可能存在垂直传播的首例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bfc/9368318/a1d6642ac992/fvets-09-956368-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bfc/9368318/9abe23f64946/fvets-09-956368-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bfc/9368318/a5bc737fa1a5/fvets-09-956368-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bfc/9368318/a1d6642ac992/fvets-09-956368-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bfc/9368318/9abe23f64946/fvets-09-956368-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bfc/9368318/a5bc737fa1a5/fvets-09-956368-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bfc/9368318/a1d6642ac992/fvets-09-956368-g0003.jpg

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本文引用的文献

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Tuberculosis caused by Mycobacterium caprae in a camel (Camelus dromedarius).由山羊分枝杆菌引起的骆驼(单峰驼)肺结核。
BMC Vet Res. 2020 Nov 10;16(1):435. doi: 10.1186/s12917-020-02665-0.
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Bovine Fetal Placenta During Pregnancy and the Postpartum Period.孕期及产后的牛胎儿胎盘
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Pathology and diagnosis of Mycobacterium bovis in naturally infected dromedary camels (Camelus dromedarius) in India.印度自然感染单峰骆驼(骆驼属单峰驼)中牛分枝杆菌的病理学与诊断
Trop Anim Health Prod. 2015 Dec;47(8):1633-6. doi: 10.1007/s11250-015-0905-5. Epub 2015 Aug 23.
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