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一个可能揭示勒罗德号迷雾的沙眼聚集病例:支持和反对船员失明另一种病因的调查。

A possible trachoma cluster unveiling the mist of Le Rôdeur: probes in favor and against an alternative cause of the crew blindness.

作者信息

Simonetti Omar, Armocida Emanuele, Rossi Benedetta, Samassa Francesco, Gobbo Ylenia, Luzzati Roberto, Zerbato Verena

机构信息

Infectious Diseases Unit, University Hospital of Trieste, Trieste, Italy.

Department of Medicine and Surgery, University of Parma, Parma, Italy.

出版信息

Pathog Glob Health. 2025 Feb-Mar;119(1-2):22-28. doi: 10.1080/20477724.2025.2458977. Epub 2025 Feb 2.

Abstract

In 1819, a puzzling outbreak of infectious blindness afflicted nearly all crew members and African slaves aboard the French vessel Le Rôdeur during the transatlantic slave trade. This paper investigates the etiology of this unique event, comparing different pathogens that cause blindness: and endemic in the African Continent. Reviewing naval medicine since the seventeenth century and eye infection knowledge in 1800, alongside historical records, we explore the singular case of Le Rôdeur's outbreak. While some clinical features favor trachoma, rapid onset, and progression align with gonococcal conjunctivitis. We suggest both as possible causes, underscoring the intricate intersection of infectious diseases and transatlantic trade.

摘要

1819年,在跨大西洋奴隶贸易期间,一艘法国船只“勒罗德”号上几乎所有船员和非洲奴隶都患上了一种令人费解的感染性失明疾病。本文研究这一独特事件的病因,比较导致失明的不同病原体:以及非洲大陆特有的病原体。回顾17世纪以来的海军医学和1800年的眼部感染知识,结合历史记录,我们探究了“勒罗德”号疫情这一独特案例。虽然一些临床特征支持沙眼,但发病迅速和病情进展符合淋菌性结膜炎。我们认为这两种情况都有可能是病因,强调了传染病与跨大西洋贸易的复杂交集。

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本文引用的文献

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Diphtheritic Conjunctivitis.白喉性结膜炎
Chic Med J. 1862 Apr;19(4):189-195.
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