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布鲁氏菌病:揭示一种普遍存在的人畜共患病及其全球影响的复杂性。

Brucellosis: Unveiling the complexities of a pervasive zoonotic disease and its global impacts.

机构信息

Research Center for Veterinary Science, National Research and Innovation Agency (BRIN), Bogor, Indonesia.

Master Program of Animal Sciences, Department of Animal Sciences, Specialisation in Molecule, Cell and Organ Functioning, Wageningen University and Research, Wageningen, The Netherlands.

出版信息

Open Vet J. 2024 May;14(5):1081-1097. doi: 10.5455/OVJ.2024.v14.i5.1. Epub 2024 May 31.

Abstract

One zoonotic infectious animal disease is brucellosis. The bacteria that cause brucellosis belong to the genus . Numerous animal and human species are affected by brucellosis, with an estimated 500,000 human cases recorded annually worldwide. The occurrence of new areas of infection and the resurgence of infection in already infected areas indicate how dynamically brucellosis is distributed throughout different geographic regions. Bacteria originate from the blood and are found in the reticuloendothelial system, the liver, the spleen, and numerous other locations, including the joints, kidneys, heart, and genital tract. Diagnosis of this disease can be done by bacterial isolation, molecular tests, modified acid-fast stain, rose bengal test (RBT), milk ring test, complement fixation test, enzyme-linked immunosorbent assay, and serum agglutination test. The primary sign of a infection is infertility, which can result in abortion and the birth of a frail fetus that may go on to infect other animals. In humans, the main symptoms are acute febrile illness, with or without localization signs, and chronic infection. Female cattle have a greater risk of contracting Brucella disease. Human populations at high risk of contracting brucellosis include those who care for cattle, veterinarians, slaughterhouse employees, and butchers. Antibiotic treatment of brucellosis is often unsuccessful due to the intracellular survival of and its adaptability in macrophages. A "one health" strategy is necessary to control illnesses like brucellosis.

摘要

一种人畜共患传染病是布鲁氏菌病。引起布鲁氏菌病的细菌属于布鲁氏菌属。众多动物和人类物种受到布鲁氏菌病的影响,据估计,全世界每年有 50 万例人类病例。新感染地区的出现和已感染地区的感染复发表明布鲁氏菌病在不同地理区域的分布是多么动态。细菌来源于血液,存在于网状内皮系统、肝脏、脾脏和许多其他部位,包括关节、肾脏、心脏和生殖道。这种疾病的诊断可以通过细菌分离、分子测试、改良抗酸染色、孟加拉玫瑰红试验(RBT)、奶环试验、补体结合试验、酶联免疫吸附试验和血清凝集试验来完成。感染的主要迹象是不孕,这可能导致流产和出生虚弱的胎儿,这些胎儿可能会继续感染其他动物。在人类中,主要症状是急性发热疾病,伴有或不伴有定位体征,以及慢性感染。母牛患布鲁氏菌病的风险更大。感染布鲁氏菌病的高危人群包括照顾牛的人、兽医、屠宰场员工和屠夫。由于细胞内布鲁氏菌的存活及其在巨噬细胞中的适应性,抗生素治疗布鲁氏菌病往往不成功。需要采取“同一健康”策略来控制布鲁氏菌病等疾病。

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