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德克萨斯湾沿岸野生犰狳(九带犰狳)中的麻风病:流行病学与分枝杆菌学

Leprosy in wild armadillos (Dasypus novemcinctus) of the Texas Gulf Coast: epidemiology and mycobacteriology.

作者信息

Smith J H, Folse D S, Long E G, Christie J D, Crouse D T, Tewes M E, Gatson A M, Ehrhardt R L, File S K, Kelly M T

出版信息

J Reticuloendothel Soc. 1983 Aug;34(2):75-88.

PMID:6350581
Abstract

A significant prevalence of leprosy has been demonstrated in wild Louisiana armadillos. The Texas Gulf Coast still has endemic human leprosy, and recent mores in Texas have markedly increased armadillo-human contact. Armadillos were screened by physical examination, and by ear-snip and slit-scrape technique. Animals that screened "positive" were sacrificed and necropsied under aseptic conditions. Liver, spleen, gross lesions, and four groups of lymph nodes were cultured for mycobacteria and were studied histologically. Base ratios and DNA homology with Mycobacterium leprae were determined on mycobacteria from two armadillos (and two tissues from one of these); these studies indicate that the organism found in Texas armadillos is M leprae. Twenty-one of the armadillos were leprous--4.66%. The local prevalence varied from 1.0% to 15.4%. Epidemiologic implications of these findings and the occurrence of other concomitant mycobacterial infections are discussed.

摘要

在路易斯安那野生犰狳中已证实麻风病有显著的流行率。得克萨斯湾沿岸仍存在地方性人类麻风病,且得克萨斯州最近的一些习俗显著增加了犰狳与人类的接触。通过体格检查、耳部剪取和刮片技术对犰狳进行筛查。筛查“阳性”的动物被处死后在无菌条件下进行尸检。对肝脏、脾脏、肉眼可见病变以及四组淋巴结进行分枝杆菌培养并进行组织学研究。测定了两只犰狳(以及其中一只的两个组织)的分枝杆菌的碱基比率和与麻风分枝杆菌的DNA同源性;这些研究表明在得克萨斯犰狳中发现的病原体是麻风分枝杆菌。21只犰狳患有麻风病,患病率为4.66%。当地患病率从1.0%到15.4%不等。讨论了这些发现的流行病学意义以及其他伴随分枝杆菌感染的发生情况。

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