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急性肺炎链球菌性致脑膜炎性迷路炎。一项实验性豚鼠模型及文献综述。

Acute Streptococcus pneumoniae meningogenic labyrinthitis. An experimental guinea pig model and literature review.

作者信息

Blank A L, Davis G L, VanDeWater T R, Ruben R J

机构信息

Department of Otolaryngology, Albert Einstein College of Medicine, Bronx, NY.

出版信息

Arch Otolaryngol Head Neck Surg. 1994 Dec;120(12):1342-6. doi: 10.1001/archotol.1994.01880360040008.

DOI:10.1001/archotol.1994.01880360040008
PMID:7980899
Abstract

OBJECTIVE

To create an experimental model of Streptococcus pneumoniae type 3 meningogenic labyrinthitis (a leading cause of deafness) similar to that in human disease.

DESIGN

Cohort analytic study of guinea pigs that were inoculated intrathecally with varying dilutions of S pneumoniae type 3; the progress of the disease was compared with that in saline solution-inoculated control animals.

SUBJECTS

Healthy adult Hartley guinea pigs without clinical evidence of middle ear disease that were conveniently sampled.

INTERVENTIONS

Intrathecal inoculation of 10(4) to 10(6) colony-forming units of S pneumoniae type 3 into 13 guinea pigs; signs and symptoms of meningitis/labyrinthitis were observed for 15 days and compared with those in two saline solution-inoculated control animals.

MAIN OUTCOME MEASURES

Morbidity--labyrinthitis, meningitis; end point--death.

RESULTS

The 10(4) to 10(6) colony-forming units of S pneumoniae type 3 caused inflammation that extended from the meninges to the inner ear via the cochlear aqueduct within 3 days after inoculation; a dose of 10(7) killed animals within 12 hours after inoculation. Three of five animals that were inoculated with a 10(6) dose died 3 days after inoculation; two of three animals that were inoculated with a 10(5) dose lived to 15 days after inoculation. One of two animals that were inoculated with a 10(4) dose did not become infected. Inflammation extended to the middle ear by round-window destruction. Reactive bone formation simulated labyrinthine osteosclerosis. Observers assessed histologic slides "blindly."

CONCLUSION

Guinea pigs can survive 15 days after intrathecal inoculation of a 10(5) dose, with morphologic features similar to those in human disease. This is an effective model for this study of meningogenic labyrinthitis.

摘要

目的

建立一种类似于人类疾病的3型肺炎链球菌致脑膜炎性迷路炎(耳聋的主要原因)实验模型。

设计

对鞘内接种不同稀释度3型肺炎链球菌的豚鼠进行队列分析研究;将疾病进展与接种盐溶液的对照动物进行比较。

研究对象

方便抽样的无中耳疾病临床证据的健康成年哈特利豚鼠。

干预措施

对13只豚鼠鞘内接种10⁴至10⁶个3型肺炎链球菌菌落形成单位;观察15天的脑膜炎/迷路炎体征和症状,并与两只接种盐溶液的对照动物进行比较。

主要观察指标

发病率——迷路炎、脑膜炎;终点——死亡。

结果

接种后3天内,10⁴至10⁶个3型肺炎链球菌菌落形成单位引起的炎症从脑膜经蜗水管扩展至内耳;10⁷剂量在接种后12小时内导致动物死亡。接种10⁶剂量的五只动物中有三只在接种后3天死亡;接种10⁵剂量的三只动物中有两只存活至接种后15天。接种10⁴剂量的两只动物中有一只未被感染。炎症通过圆窗破坏扩展至中耳。反应性骨形成模拟迷路骨硬化。观察者“盲法”评估组织学切片。

结论

豚鼠鞘内接种10⁵剂量后可存活15天,其形态学特征与人类疾病相似。这是该致脑膜炎性迷路炎研究的有效模型。

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