Zoonotic transmission

人畜共患传播
  • 文章类型: Case Reports
    该病例报告描述了一名43岁的男子,该男子出现呼吸窘迫,并被诊断为由支气管败血波氏杆菌引起的充血性心力衰竭和多灶性肺炎恶化。呼吸道样本的微生物学检查确定了致病生物,提示抗生素治疗并建议为他的狗接种疫苗。这种情况强调需要考虑呼吸道感染的多种起源以进行有效的临床管理。
    This case report describes a 43-year-old man who presented with respiratory distress and was diagnosed with an exacerbation of congestive heart failure and multifocal pneumonia caused by Bordetella bronchiseptica. Microbiological work up of a respiratory sample identified the causative organism, prompting antibiotic treatment and recommending vaccination for his dog. This case emphasizes the need to consider diverse origins in respiratory infections for effective clinical management.
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  • 文章类型: Journal Article
    背景布鲁氏菌病是中东地区的一种地方性感染。世界卫生组织已将该疾病确定为最普遍的“被忽视的人畜共患疾病”之一。“公众对布鲁氏菌病感染的看法因地区而异。因此,这项研究旨在评估知识,态度,以及沙特阿拉伯卡西姆地区普通人群中布鲁氏菌病的做法。方法A描述性,横截面研究于2023年3月至2023年5月在沙特阿拉伯的Qassim地区进行。我们通过社交媒体平台分发了一份在线问卷,共收到了来自Qassim地区不同省份的1,244份回复。结果布鲁氏菌病的知晓率为中度。在1,244名参与者中,706(56.8%)了解该疾病。在意识到这种疾病的参与者中,评估了他们对布鲁氏菌病的了解。这些受访者中的大多数表现出良好的知识水平(70.5%)。关于对布鲁氏菌病的态度和做法,参与者的知识水平和他们的态度之间没有显著的关联.结论Qassim地区布鲁氏菌病的知晓率因年龄组而异。居住区,和其他因素。卡西姆地区的年轻年龄组和某些省份的认识水平较低。此外,具有良好的疾病知识的参与者从医疗保健从业人员那里获得了他们的信息。我们的调查结果在卡西姆各省之间的显着差异表明,需要在意识水平较低的地区开展更有针对性的意识运动。
    Background Brucellosis is an endemic infection in the Middle East. The World Health Organization has identified the illness as one of the most prevalent \"neglected zoonotic diseases.\" Public perceptions regarding brucellosis infection vary across different regions. Thus, this study aimed to assess the knowledge, attitudes, and practices concerning brucellosis among the general population in the Qassim region of Saudi Arabia. Methods A descriptive, cross-sectional study was conducted in the Qassim region of Saudi Arabia between March 2023 and May 2023. We distributed an online questionnaire through social media platforms and received a total of 1,244 responses from different governorates in the Qassim region. Results The level of awareness of brucellosis was moderate. Out of the 1,244 participants, 706 (56.8%) were aware of the disease. Among the participants who were aware of the disease, their knowledge of brucellosis was assessed. The majority of these respondents demonstrated a good level of knowledge (70.5%). Regarding attitudes and practices toward brucellosis, no significant association was found between the participants\' level of knowledge and their attitudes. Conclusion Awareness levels about brucellosis in the Qassim region vary depending on age group, area of residency, and other factors. The younger age group and certain governorates in the Qassim region showed low levels of awareness. Moreover, participants with good knowledge about the disease obtained their information from healthcare practitioners. The significant difference in our findings between Qassim\'s governorates demonstrates the need for more targeted awareness campaigns in areas with lower levels of awareness.
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  • 文章类型: Journal Article
    肺孢子丝菌病是一种罕见的疾病。它可以表现为原发性肺部疾病,由直接孢子丝菌(spp)产生。分生孢子吸入,或作为多灶性孢子丝菌病的多器官受累的一部分,主要是免疫功能低下的患者。这项研究旨在描述孢子丝菌培养阳性的患者的社会人口统计学和流行病学特征以及临床过程。来自人畜共患孢子丝菌病高流行地区的参考中心的肺标本(痰和/或支气管肺泡灌洗)。回顾了这些患者的临床记录。包括14名患者,在所有病例中都发现了巴西孢子丝菌。播散性孢子丝菌病是92.9%病例的临床表现,原发性肺孢子丝菌病占7.1%。合并症包括人类免疫缺陷病毒感染(78.6%),酗酒(71.4%),和慢性阻塞性肺疾病(14.3%)。两性霉素B和伊曲康唑治疗是首选方案,92.9%的病例处方。与孢子丝菌病相关的死亡发生率为42.9%,而35.7%的患者治愈。在5例病例中,可能有上呼吸道病变的污染。尽管孢子丝菌病病例显著增加,肺孢子丝菌病仍然罕见。播散性孢子丝菌病的治疗通常是困难的。及时诊断和识别所有受影响的器官对于更好的预后至关重要。
    Pulmonary sporotrichosis is a rare condition. It can present as a primary pulmonary disease, resulting from direct Sporothrix species (spp). conidia inhalation, or as part of multifocal sporotrichosis with multiple organ involvement, mainly in immunocompromised patients. This study aimed to describe the sociodemographic and epidemiological characteristics and clinical course of patients with positive cultures for Sporothrix spp. from pulmonary specimens (sputum and/or bronchoalveolar lavage) at a reference center in an area hyperendemic for zoonotic sporotrichosis. The clinical records of these patients were reviewed. Fourteen patients were included, and Sporothrix brasiliensis was identified in all cases. Disseminated sporotrichosis was the clinical presentation in 92.9% of cases, and primary pulmonary sporotrichosis accounted for 7.1%. Comorbidities included human immunodeficiency virus infection (78.6%), alcoholism (71.4%), and chronic obstructive pulmonary disease (14.3%). Treatment with amphotericin B followed by itraconazole was the preferred regimen and was prescribed in 92.9% of cases. Sporotrichosis-related death occurred in 42.9% while 35.7% of patients were cured. In five cases there was a probable contamination from upper airway lesions. Despite the significant increase in sporotrichosis cases, pulmonary sporotrichosis remains rare. The treatment of disseminated sporotrichosis is typically difficult. Prompt diagnosis and identification of all affected organs are crucial for better prognosis.
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  • 文章类型: Journal Article
    The close association of cattle/buffaloes to farmers and their family members is a well-known phenomenon in rural India. Cattle are major contributors to the income for the sustenance of families, and for many landless farmers, often the only source of livelihood. The animals are sheltered under the same roof where the family members sleep, cook and eat. This close proximity of humans to cattle/buffaloes exposes farmers and family members to tuberculosis (TB), especially if they are vulnerable (e.g. malnourished children along with adults, diabetics, people with HIV/AIDS, people with addiction to alcohol, or smokers) . Several studies have examined the risk factors that are associated with TB, such as crowding (slum dwellers), poor living conditions, alcohol, and tobacco . Other studies have found a significant proportion of diabetic patients with coexistent TB. This study examines the spread of TB from animals to humans and its public health significance. To achieve this, selected numbers of cattle/buffaloes were tested for TB and the association with humans and animals was examined.
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  • 文章类型: Journal Article
    As of August 2017, China had encountered five seasonal epidemics of H7N9 avian influenza. To prevent people from contracting H7N9 avian influenza, most cities closed live poultry markets (LPMs) to cut off the source of H7N9 virus. The objective of this study is to assess the impact of LPMs closure on reducing zoonotic transmission of avian influenza A (H7N9) virus and to make specific recommendations on the duration of closing the LPMs. Results show that the closure of LPMs can effectively control the spread of H7N9 avian influenza and reduce the incidence of human infection with H7N9. If cases of H7N9 avian influenza continue to occur, LPMs should close for at least 3-4 weeks in susceptible areas to control the spread of infection.
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  • 文章类型: Journal Article
    The ecology of Ebola virus (EBV) remains largely unknown, but the previous detection of viral RNA and anti-EBV antibodies in African bats suggests that they might play a role in the EBV reservoir. Moreover, African bats also carry other potentially zoonotic agents such as Henipah-like viruses, coronaviruses and lyssaviruses. Today only little information is available on interactions between humans and bats. The objective of our exploratory study was to describe the extent and modes of contacts between humans and bats in southern Cameroon, considered as an area at risk for future EBV outbreaks. The survey was conducted in 11 villages of four distinct rural areas in southern Cameroon. A total of 135 respondents were interviewed using semi-structured questionnaires, between February and May 2017. The study showed that direct contacts between bats and humans are relatively common. Bat bushmeat appeared to be an occasional meat resource; 40% of respondents consume bats with a median annual consumption of three, and 28% of respondents hunt them. About 22% of the respondents reported children catching bats. Indirect contact also appeared to be common; 55% of hunters use caves as shelters and 67% of interviewees eat fruits previously chewed by bats. Bat consumption varied significantly between regions (from 0% to 87%) and between pygmies and bantus in the extreme south-east of Cameroon. The study revealed considerable diversity in practices among interviewees, most of them being subsistence cultivators and relying on self-hunted bushmeat. Geographical diversity of contacts and perceptions regarding bats in Cameroon emphasizes the need to adjust zoonotic pathogen surveillance and education campaigns to the specificities of the communities and their context of interaction with wildlife.
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  • 文章类型: Journal Article
    Giardia duodenalis is a relevant gastrointestinal protozoan pathogen of humans and animals. This species complex consists of eight genetically different assemblages. Assemblages A and B are pathogenic to humans and pets, thus confer zoonotic potential. The risk of zoonotic transmission has been controversially discussed. The aim of this monocentric cross-sectional pilot study was to investigate G. duodenalis assemblages in humans and pets living in common households in Berlin/Brandenburg (Germany). Samples from dogs, cats and humans sharing the same households were screened for Giardia infection by antigen-detecting assays. All human samples were additionally analysed by a Giardia-specific qPCR. Cyst quantification and sequences of different gene loci (triosephosphate isomerase (tpi), glutamate dehydrogenase (gdh), β-giardin (bg) and for dogs SSUrDNA) were analysed. A total of 38 households (31 households with dogs and seven with cats) with 69 human individuals participated in the study. Initial antigen-detecting assays revealed Giardia-positive results for 13 (39%) canine, one (14%) feline and one human sample. Reanalysis of the human samples by qPCR revealed two more positive specimens (4%). Two of these three samples were identified as assemblage B at all tested loci. Success rate of assemblage typing for pet samples was generally low and comprised mainly the SSUrDNA locus only. Overall, six of 13 Giardia-positive canine samples were typable (2× A, 1× co-infection: A and B, 1× C; 2× D). One pair of samples (dog and human) from the same household had a similar but not identical assemblage B sequence at tpi locus. Assemblage A was also detected in the dog specimen, which hampered sequence analysis. In conclusion, although exhibiting limitations due to the sample size, our study highlights the need for better and standardized typing tools to distinguish G. duodenalis strains with higher resolution in order to perform proper case-control studies for a realistic estimation of zoonotic risk.
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