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威斯康星州的巴贝斯虫病。疾病传播的一个新焦点。

Babesiosis in Wisconsin. A new focus of disease transmission.

作者信息

Steketee R W, Eckman M R, Burgess E C, Kuritsky J N, Dickerson J, Schell W L, Godsey M S, Davis J P

出版信息

JAMA. 1985 May 10;253(18):2675-8. doi: 10.1001/jama.253.18.2675.

DOI:10.1001/jama.253.18.2675
PMID:3886942
Abstract

A confirmed case of human babesiosis was identified in August 1983 in a 54-year-old asplenic Wisconsin resident. Babesia microti was identified as the causative agent by blood smear morphology and hamster inoculation techniques. The patient's wife had clinically confirmed Lyme disease in 1981 and had serologic evidence (immunofluorescent antibody to a B microti titer of 1:1,024) of recent Babesia infection in August 1983. Mice (Peromyscus species) trapped on the patients' property and elsewhere in their Wisconsin county of residence were infected with B microti. Lyme disease and babesiosis have the same tick vector and animal reservoir; serum samples from 116 Wisconsin and Minnesota residents with clinically confirmed Lyme disease between 1980 and 1983 were tested, and none were found to have concurrent Babesia infection. This area of Wisconsin is identified as a new focus for babesiosis transmission, but the risk of transmission seems to be low.

摘要

1983年8月,在威斯康星州一名54岁的无脾居民身上确诊了一例人类巴贝斯虫病病例。通过血涂片形态学和仓鼠接种技术确定微小巴贝斯虫为病原体。患者的妻子在1981年临床确诊为莱姆病,并且在1983年8月有近期巴贝斯虫感染的血清学证据(微小巴贝斯虫免疫荧光抗体滴度为1:1024)。在患者住所及其威斯康星州居住县的其他地方捕获的小鼠(白足鼠属)感染了微小巴贝斯虫。莱姆病和巴贝斯虫病有相同的蜱传播媒介和动物宿主;对1980年至1983年间116名临床确诊为莱姆病的威斯康星州和明尼苏达州居民的血清样本进行了检测,未发现有同时感染巴贝斯虫的情况。威斯康星州的这一地区被确定为巴贝斯虫病传播的新疫源地,但传播风险似乎较低。

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