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[伊尔库茨克省南部和西北部病灶中假结核感染流行过程的特征]

[THe characteristics of the epidemic process of pseudotuberculosis infection in the southern and northwestern foci of Irkutsk Province].

作者信息

Chesnokova M V, Klimov V T, Maramovich A S, Lemeshko R A

出版信息

Med Parazitol (Mosk). 1995 Oct-Dec(4):27-30.

PMID:8587513
Abstract

A long-term study of pseudotuberculosis epidemiology has revealed two independent foci in the south and northwest of Irkutsk Province, which differ in the level and pattern of morbidity, seasonal features, patients' age distribution, severity of a clinical course. Each focus is characterized by the clonal structure of the pseudotuberculosis bacillus, which is persistent in terms of the plasmid profile. Strains with the two plasmids 47 mD (pYV) and 82 mD (pVM) circulate in the southern focus, while those with one plasmid 47 mD (pYV) in the northwestern focus. The intensity of an epidemic process is not associated with the presence of the plasmid 82 mD (pVM). The presence of the latter statistically significantly determines the severity of the clinical course of pseudotuberculosis infection, which seems to be caused by the immunodepressive action of the plasmid pVM.

摘要

一项关于假结核流行病学的长期研究揭示,伊尔库茨克省南部和西北部存在两个独立的疫源地,它们在发病率水平和模式、季节性特征、患者年龄分布、临床病程严重程度等方面存在差异。每个疫源地都以假结核杆菌的克隆结构为特征,就质粒谱而言这种结构是持久的。携带47 mD(pYV)和82 mD(pVM)两种质粒的菌株在南部疫源地传播,而在西北部疫源地传播的菌株携带一种47 mD(pYV)质粒。流行过程的强度与82 mD(pVM)质粒的存在无关。后者的存在在统计学上显著决定了假结核感染临床病程的严重程度,这似乎是由质粒pVM的免疫抑制作用引起的。

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