北加利福尼亚的球孢子菌病。雷德布拉夫附近考古学学生中的一次疫情爆发。
Coccidioidomycosis in Northern California. An outbreak among archeology students near Red Bluff.
作者信息
Werner S B, Pappagianis D
出版信息
Calif Med. 1973 Sep;119(3):16-20.
Abstract
An outbreak of coccidioidomycosis occurred among 39 archeology students in the summer of 1972. The students excavated Indian ruins near Red Bluff in Tehama County, California, 20 miles north of the previously recognized northernmost limit of endemicity. At least 17 persons contracted an illness clinically compatible with a diagnosis of coccidioidomycosis. Coccidioidomycosis was documented by skin test conversion as well as by specific serologic reactions. Coccidioides immitis was also isolated from two soil samples taken at the excavation site. In light of its ecological requirements, it is doubtful that C. immitis will be recovered much farther north than Red Bluff. The occupational hazard of coccidioidomycosis to archeologists and others employed in known endemic areas remains a substantial threat to health.
摘要
1972年夏天，39名考古学专业学生中爆发了球孢子菌病。这些学生在加利福尼亚州蒂黑马县雷德布拉夫附近挖掘印第安遗迹，此地位于此前确认的该病最北流行界限以北20英里处。至少有17人感染了临床上符合球孢子菌病诊断的疾病。通过皮肤试验结果转变以及特异性血清学反应确诊了球孢子菌病。在挖掘现场采集的两份土壤样本中也分离出了粗球孢子菌。鉴于其生态需求，粗球孢子菌在比雷德布拉夫更北的地区被发现的可能性不大。球孢子菌病对考古学家和其他在已知流行地区工作的人员的职业危害仍然是对健康的重大威胁。
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