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空肠弯曲菌引起的两起感染聚集性病例的血清学研究

Serologic study of two clusters of infection due to Campylobacter jejuni.

作者信息

Blaser M J, Duncan D J, Osterholm M T, Istre G R, Wang W L

出版信息

J Infect Dis. 1983 May;147(5):820-3. doi: 10.1093/infdis/147.5.820.

Abstract

The serologic responses to Campylobacter jejuni in persons involved in two clusters of infection and in control subjects were studied. In the first cluster, in which previously unexposed persons drank raw milk, the attack rate was high and elevated complement-fixing (CF) and specific IgG and IgM antibodies were demonstrated. In the second cluster, involving farmers who chronically drank raw milk, the attack rate was low, but titers of CF and IgG antibodies were high in both affected and unaffected persons. At a control dairy farm, where raw milk was drunk regularly, asymptomatic infection and high CF titers were demonstrated. In contrast to the findings in the first cluster, the titers of IgM antibody among the dairy farmers were low. These studies suggest that chronic exposure to C. jejuni may lead to immunity that may possibly be mediated by IgG.

摘要

对两起感染群中的人群以及对照受试者针对空肠弯曲菌的血清学反应进行了研究。在第一起感染群中,此前未接触过空肠弯曲菌的人群饮用了生牛奶,发病率很高,并且检测到补体结合(CF)抗体以及特异性IgG和IgM抗体水平升高。在第二起感染群中,涉及长期饮用生牛奶的农民,发病率较低,但在受影响和未受影响的人群中,CF和IgG抗体滴度均较高。在一个经常饮用生牛奶的对照奶牛场,发现了无症状感染以及CF抗体滴度较高的情况。与第一起感染群中的发现相反,奶农中IgM抗体滴度较低。这些研究表明,长期接触空肠弯曲菌可能会产生免疫,这种免疫可能由IgG介导。

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