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猫实验性诱导亨氏巴尔通体感染后进行激发暴露和抗菌治疗。

Experimentally induced Bartonella henselae infections followed by challenge exposure and antimicrobial therapy in cats.

作者信息

Regnery R L, Rooney J A, Johnson A M, Nesby S L, Manzewitsch P, Beaver K, Olson J G

机构信息

Viral and Rickettsial Zoonoses Branch, US Department of Health and Human Services, Atlanta, GA 30333, USA.

出版信息

Am J Vet Res. 1996 Dec;57(12):1714-9.

PMID:8950424
Abstract

OBJECTIVES

To elucidate kinetics of Bartonella henselae bacteremia and IgG response, evaluate antibiotic therapy, and investigate challenge exposure in cats.

ANIMALS

Specific-pathogen-free cats.

PROCEDURE

Cats were inoculated with B henselae or B quintana and monitored. Convalescent cats were challenge exposed with B henselae. Amoxicillin, enrofloxacin, erythromycin, and tetracycline HCl were evaluated for effect on B henselae bacteremia.

RESULTS

Cats developed B henselae bacteremia within 1 week; bacteremia persisted for longer than 2 months before subsiding spontaneously. IgG antibody titer developed shortly after onset of bacteremia; antibody co-existed with bacteremia for several weeks and remained detectable after bacteremia subsided. Cats inoculated with B quintana remained abacteremic. On challenge exposure to B henselae, cats previously infected with B henselae remained abacteremic; cats previously inoculated with B quintana supported B henselae infection. Tetracycline HCl and erythromycin depressed B henselae bacteremia; however, duration of bacteremia remained similar to that in untreated cats. Obvious signs of illness were not observed.

CONCLUSIONS

Long-duration, high-titer B henselae infections were highly reproducible in cats. Convalescent cats were immune to reinfection. B quintana-inoculated cats did not have evidence of infection and were susceptible to B henselae challenge exposure. Antibiotic therapy was incompletely efficacious in terminating cat bacteremia.

CLINICAL RELEVANCE

A cat with an inapparent B henselae infection must provisionally be regarded as a possible reservoir for infection for a minimum of 2 to 3 months. Convalescent cats are resistant to reinfection. Usual antibiotic therapy was not completely efficacious. Measurement of IgG antibody can be used to detect past or current infection.

摘要

目的

阐明亨氏巴尔通体菌血症的动力学及IgG反应,评估抗生素治疗效果,并研究猫的激发暴露情况。

动物

无特定病原体猫。

方法

给猫接种亨氏巴尔通体或五日热巴尔通体并进行监测。对恢复期的猫进行亨氏巴尔通体激发暴露。评估阿莫西林、恩诺沙星、红霉素和盐酸四环素对亨氏巴尔通体菌血症的影响。

结果

猫在1周内出现亨氏巴尔通体菌血症;菌血症持续超过2个月后自行消退。IgG抗体滴度在菌血症发作后不久出现;抗体与菌血症共存数周,菌血症消退后仍可检测到。接种五日热巴尔通体的猫未出现菌血症。在激发暴露于亨氏巴尔通体时,先前感染过亨氏巴尔通体的猫未出现菌血症;先前接种过五日热巴尔通体的猫出现了亨氏巴尔通体感染。盐酸四环素和红霉素可抑制亨氏巴尔通体菌血症;然而,菌血症持续时间与未治疗的猫相似。未观察到明显的疾病迹象。

结论

猫可高度重复出现长时间、高滴度的亨氏巴尔通体感染。恢复期的猫对再次感染具有免疫力。接种五日热巴尔通体的猫没有感染证据,且易受亨氏巴尔通体激发暴露感染。抗生素治疗在终止猫的菌血症方面效果不完全。

临床意义

一只患有隐匿性亨氏巴尔通体感染的猫在至少2至3个月内必须暂时被视为可能的感染源。恢复期的猫对再次感染具有抵抗力。常规抗生素治疗效果不完全。检测IgG抗体可用于检测既往或当前感染。

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