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[葡萄膜炎患者虫媒病毒感染的血清学调查]

[Serologic survey on arbovirus infections in patients presenting with uveitis].

作者信息

Le Lay-Rogues G, Colin J, Chastel C

出版信息

J Fr Ophtalmol. 1984;7(6-7):457-62.

PMID:6094643
Abstract

Viruses have been demonstrated or suspected as the causative agents of various types of uveitis. Some arboviruses can be responsible for ocular manifestations. In Brittany, both serosurveys and virus isolations were positive for arboviruses. These results led us to look for the possible role of arboviruses in the aetiology of uveitis. For this, we performed a serosurvey on 131 patients with uveitis of unknown aetiology. Patients were examined in the Ophthalmologic Department of the Brest University Hospital from May 1979 to May 1983. Serum samples were studied: by haemagglutination inhibition (HI) tests against thirteen antigens; by complement fixation (CF) tests against six antigens. The HI and CF tests were performed using micromethods. HI tests revealed antibodies against one or more flaviviruses antigens in thirteen patients: nine monospecific reactions against Yellow Fever virus (as a consequence of a vaccination) and four reactions against several flaviviruses. The four positive reactions are easily explainable by previous trips in countries where several arboviruses are endemic. By CF test we found antibodies at a low titer in two patients: the first one had antibodies against the Zaliv Terpeniya virus and the second against the Avalon virus. Signification of these results is discussed. Our study shows that in Brittany uveitis of unknown aetiology do not seem to be due to arboviruses, at least those tested in this survey or antigenically related.

摘要

病毒已被证实或怀疑是各类葡萄膜炎的病原体。一些虫媒病毒可导致眼部表现。在布列塔尼,血清学调查和病毒分离结果均显示虫媒病毒呈阳性。这些结果促使我们探究虫媒病毒在葡萄膜炎病因学中可能扮演的角色。为此,我们对131例病因不明的葡萄膜炎患者进行了血清学调查。1979年5月至1983年5月期间,这些患者在布雷斯特大学医院眼科接受检查。对血清样本进行了研究:通过针对13种抗原的血凝抑制(HI)试验;通过针对6种抗原的补体结合(CF)试验。HI试验和CF试验均采用微量法进行。HI试验在13例患者中检测到针对一种或多种黄病毒抗原的抗体:9例针对黄热病病毒的单特异性反应(因接种疫苗所致),4例针对多种黄病毒的反应。这4例阳性反应很容易用之前去过几种虫媒病毒流行国家的旅行史来解释。通过CF试验,我们在2例患者中发现了低滴度抗体:第一例患者有针对扎利夫·特尔佩尼娅病毒的抗体,第二例有针对阿瓦隆病毒的抗体。文中对这些结果的意义进行了讨论。我们的研究表明,在布列塔尼,病因不明的葡萄膜炎似乎并非由虫媒病毒引起,至少不是本次调查中检测的那些或抗原相关的虫媒病毒。

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