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猫孢子丝菌病:5例传染给人类的报告

Feline sporotrichosis: a report of five cases with transmission to humans.

作者信息

Dunstan R W, Langham R F, Reimann K A, Wakenell P S

出版信息

J Am Acad Dermatol. 1986 Jul;15(1):37-45. doi: 10.1016/s0190-9622(86)70139-4.

Abstract

Sporotrichosis was diagnosed in five cats. Seven humans exposed to these cats subsequently developed the disease. All feline cases developed draining ulcers, and in four of five cases there was disseminated cutaneous involvement. Histologically, numerous Sporothrix organisms were noted in cutaneous lesions and overlying exudate. The seven humans who became infected were involved in cleaning and medicating cats with the disease; all human patients developed a localized lymphocutaneous form of sporotrichosis. In four of the human cases there was no history of an associated penetrating wound. The large number of Sporothrix organisms is a distinct feature of feline sporotrichosis and indicates that the cat may be the only domestic animal species that can readily transmit this disease to humans. In addition, any contact with the draining lesions of affected cats offers the potential for human infection.

摘要

五只猫被诊断患有孢子丝菌病。随后,接触这些猫的七个人也患上了这种疾病。所有猫的病例都出现了引流性溃疡,五例中有四例出现了皮肤播散性受累。组织学检查发现,皮肤病变和覆盖的渗出物中有大量孢子丝菌。七名被感染的人参与了对患病猫的清洁和给药;所有人类患者都发展为局限性皮肤淋巴管型孢子丝菌病。在四例人类病例中,没有相关穿透伤的病史。大量的孢子丝菌是猫孢子丝菌病的一个显著特征,表明猫可能是唯一能轻易将这种疾病传播给人类的家畜物种。此外,与患病猫的引流性病变的任何接触都有导致人类感染的可能性。

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