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匈牙利由产芽孢需氧菌引起的严重肠道疾病病例(作者译)

[Cases of severe enteric disease caused by spore-forming aerobic bacteria in Hungary (author's transl)].

作者信息

Bodnár S, Nikodemusz I

出版信息

Zentralbl Bakteriol Mikrobiol Hyg A Med Mikrobiol Infekt Parasitol. 1981 Dec;251(1):79-82.

PMID:7199238
Abstract

For a long time there has been doubt the facultative enteropathogenicity of saprophytic bacteria of the genus Bacillus; even today, it is not generally recognized. The simultaneous presence of numerous factors is known to be required for the genesis of enteric diseases (food poisoning). Among bacilli, B. cereus is the most pathogenic one, however, other species may also be involved. In Central Europe, food poisoning caused by bacteria become manifest after a latent period of 6-10 h. Gastric and intestinal convulsions which last for 8-12 h hand diarrhea with watery stools are observed. Nausea, vomiting, headache, and fever are rare symptoms. Cases of food poisoning observed in America and England were mainly characterized by nausea and vomiting lasting 4-6 h after a latent period of 1-2 h. both types have shown a mild course. In the present communication, 5 comparatively severe cases are described, of which 2 occurred in children. In 3 cases. foods of animal origin were incriminated as vehicles of infection, which had not been stated for earlier cases. The potential of spore-forming organisms, in particular of B. cereus, for causing severe disease should not be overlooked.

摘要

长期以来,人们一直怀疑芽孢杆菌属腐生菌的兼性肠致病性;即使在今天,这一点也未得到普遍认可。已知肠道疾病(食物中毒)的发生需要多种因素同时存在。在芽孢杆菌中,蜡样芽孢杆菌致病性最强,但其他种类也可能有影响。在中欧,由细菌引起的食物中毒在6至10小时的潜伏期后显现出来。会出现持续8至12小时的胃肠痉挛以及水样腹泻。恶心、呕吐、头痛和发烧是罕见症状。在美国和英国观察到的食物中毒病例主要表现为在1至2小时的潜伏期后,恶心和呕吐持续4至6小时。这两种类型病情都较轻。在本报告中,描述了5例病情相对严重的病例,其中2例发生在儿童身上。在3例病例中,动物性食品被认定为感染源,而早期病例中并未提及这一点。形成芽孢的生物体,尤其是蜡样芽孢杆菌导致严重疾病的可能性不应被忽视。

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