Bordetella bronchiseptica

支气管败血波氏杆菌
  • 文章类型: Journal Article
    猫上呼吸道感染(URI)是令人担忧的,尤其是在动物收容所。本范围审查确定了由猫疱疹病毒(FHV)引起的URI的流行病学文献,猫杯状病毒(FCV),费氏衣原体,非支原体和支气管败血波氏杆菌。搜索了四个数据库,研究进行了筛选,并在标准化模板上提取数据。我们描述了研究空间位置的模式,病原体和诊断测试的范围,队列特征和危险因素分析的结果。共选取90篇文章进行最终数据提取。取样方法多种多样,排除患病率报告的定量荟萃分析。FHV研究最频繁(n=57/90)。最受欢迎的采样部位是结膜擦拭(n=43)。大多数研究(n=57)使用聚合酶链反应(PCR)来确认诊断。大约三分之一(n=32/90)的研究包括庇护猫科动物。这篇综述探讨了猫科动物URI的流行病学和危险因素的知识现状。评估危险因素的影响有可能减轻疾病的严重程度,尤其是在避难所;然而,由于研究使用的方法不一致,因此结果不易合并.我们为正在进行的猫科动物URI流行病学研究提供了建议,以提供更结构化的框架并为将来的系统评价定义研究问题。
    Feline upper respiratory tract infections (URI) are of concern, especially in animal shelters. This scoping review identifies epidemiological literature on URI as caused by feline herpesvirus (FHV), feline calicivirus (FCV), Chlamydia felis, Mycoplasma felis and Bordetella bronchiseptica. Four databases were searched, studies were screened, and data were extracted on a standardised template. We described patterns in spatial locations of the studies, the range of pathogens and diagnostic tests, cohort characteristics and the findings of risk factor analyses. A total of 90 articles were selected for final data extraction. There was diversity in sampling methods, precluding quantitative meta-analysis of prevalence reports. FHV was most frequently studied (n = 57/90). The most popular sampling site was conjunctival swabbing (n = 43). Most studies (n = 57) used polymerase chain reaction (PCR) to confirm diagnosis. Approximately one-third (n = 32/90) of the studies included sheltered felines. This review explores the current state of knowledge on the epidemiology and risk factors of feline URI. Assessing the impact of risk factors has the potential to alleviate the severity of disease, especially in shelters; however, the results were not easily pooled as the studies used inconsistent approaches. We present recommendations for ongoing epidemiological research on feline URI to provide a more structured framework and define research questions for future systematic reviews.
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  • 文章类型: Journal Article
    城市流浪猫是没有主人的猫,可以在野外长时间生存。它们是城市中最常见的流浪动物之一,因此,监测城市流浪猫携带的病原体是城市流行病学监测的重要组成部分。为了解上海市城市流浪猫呼吸道疾病的患病情况,为制定有针对性的流浪猫呼吸道疾病防控策略提供科学依据,我们收集了374眼,鼻部,2022年1月至2022年12月,上海城市流浪猫的口咽拭子。RNA提取后,我们使用实时PCR检测了六种呼吸道病原体,包括甲型流感病毒,猫杯状病毒,猫疱疹病毒1型支原体,衣原体,和支气管败血杆菌.结果表明,在374个样本中,146检测呈阳性,阳性率为39.04%。观察到最高的阳性率为18.72%(70/374),其次是衣原体,占11.76%(44/374),猫杯状病毒为3.74%(14/374),猫疱疹病毒1型,占3.48%(13/374),支气管败血波氏杆菌占1.34%(5/374),未检测到甲型流感病毒。非支原体阳性率最高的是闵行区,为31.94%(23/72),而嘉定区非衣原体和支气管败血波氏杆菌的阳性率最高,分别为23.53%(8/34)和5.88%(2/34),分别。青浦区猫杯状病毒和猫疱疹病毒1型阳性率均最高,分别为14.46%(12/83)和9.64%(8/83),分别。共有36份样本显示两种或两种以上病原体混合感染,在这些混合感染中,有32种由非支原体感染引起,在25个样本中,费氏衣原体的混合感染数量最高。全年检测到呼吸道病原体阳性,夏季和冬季的峰值检测率。不同季节猫呼吸道病原体阳性率差异有统计学意义(χ2=27.73,p<0.01)。不同性别猫呼吸道病原体阳性率差异无统计学意义(χ2=0.92,p>0.05)。不同年龄组猫呼吸道病原体阳性率差异有统计学意义(χ2=44.41,p<0.01)。非氏支原体和衣原体是导致流浪猫呼吸道感染的主要病原体,与其他呼吸道病原体相比,猫支原体显示出更高的阳性率,并且通常与猫衣原体和猫杯状病毒共同感染。夏季,白花支原体阳性率较高,秋天,冬天,季节之间没有统计学差异。这些结果表明,上海地区城市流浪猫的呼吸道病原体总体流行严重,表现出季节性趋势和与其他病原体的混合感染。这些发现表明,需要采取综合预防和控制措施来解决上海地区城市流浪猫的呼吸道病原体感染。
    Urban stray cats are cats without owners that survive in the wild for extended periods of time. They are one of the most common stray animals in cities, and as such, monitoring the pathogens carried by urban stray cats is an important component of urban epidemiological surveillance. In order to understand the prevalence of respiratory diseases in urban stray cats in Shanghai and provide scientific evidence for the development of targeted prevention and control strategies for respiratory diseases in stray cats, we collected 374 ocular, nasal, and oropharyngeal swabs from urban stray cats in Shanghai from January 2022 to December 2022. After RNA extraction, we used real-time PCR to detect six respiratory pathogens, including influenza A virus, feline calicivirus, feline herpesvirus type 1, Mycoplasma, Chlamydia, and Bordetella bronchiseptica. The results showed that among the 374 samples, 146 tested positive, with a positivity rate of 39.04%. The highest positivity rate was observed for Mycoplasma felis at 18.72% (70/374), followed by Chlamydia felis at 11.76% (44/374), feline calicivirus at 3.74% (14/374), feline herpesvirus 1 at 3.48% (13/374), Bordetella bronchiseptica at 1.34% (5/374), and influenza A virus was not detected. The highest positivity rate for Mycoplasma felis was in Minhang District at 31.94% (23/72), while Chlamydia felis and Bordetella bronchiseptica had the highest positivity rates in Jiading District at 23.53% (8/34) and 5.88% (2/34), respectively. The highest positivity rates for feline calicivirus and feline herpesvirus 1 were both observed in Qingpu District, at 14.46% (12/83) and 9.64% (8/83), respectively. A total of 36 samples showed mixed infections with two or more pathogens, with Mycoplasma felis being involved in 32 of these mixed infections, with the highest number of mixed infections being with Chlamydia felis at 25 samples. Respiratory pathogen positivity was detected throughout the year, with peak detection rates in summer and winter. The positivity rates of cat respiratory pathogens in different seasons showed statistical differences (χ2 = 27.73, p < 0.01). There was no statistical difference in the positivity rates of respiratory pathogens between cats of different genders (χ2 = 0.92, p > 0.05). The positivity rates of respiratory pathogens in cats of different age groups showed statistical differences (χ2 = 44.41, p < 0.01). Mycoplasma felis and Chlamydia felis were the main pathogens causing respiratory infections in stray cats, with Mycoplasma felis showing a much higher positivity rate than other respiratory pathogens and often co-infecting with Chlamydia felis and feline calicivirus. The positivity rate of Mycoplasma felis was high in summer, autumn, and winter, with no statistical difference between seasons. These results indicate a serious overall prevalence of respiratory pathogens in urban stray cats in the Shanghai area, showing seasonal trends and mixed infections with other pathogens. These findings suggest the need for comprehensive prevention and control measures to address respiratory pathogen infections in urban stray cats in the Shanghai area.
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  • 文章类型: Journal Article
    猪萎缩性鼻炎是由多杀性巴氏杆菌和支气管败血波氏杆菌引起的疾病,影响猪。含有多杀性巴氏杆菌和支气管败血波氏杆菌产生的毒素的灭活疫苗已广泛用于预防猪萎缩性鼻炎。疫苗的效力与存在的抗原的量相关;然而,与氢氧化铝结合的多杀性疟原虫的保护性毒素,用作佐剂,会妨碍对疫苗中抗原浓度的监测。这项研究评估了点免疫测定法作为使用单克隆抗体的抗原定量方法的适用性。该定量方法即使在抗原与佐剂结合时也能够以高特异性和灵敏度检测抗原。及其在疫苗产品中的应用揭示了疫苗中存在的抗原量与猪中诱导的中和抗体滴度之间的相关性。本研究中提出的抗原定量方法是一种简单而灵敏的测定法,能够定量疫苗中存在的抗原量,可用作替代的质量控制措施。
    Swine atrophic rhinitis is a disease caused by Pasteurella multocida and Bordetella bronchiseptica that affects pigs. Inactivated vaccines containing the toxins produced by Pasteurella multocida and Bordetella bronchiseptica have been widely used for the prevention of swine atrophic rhinitis. The efficacy of a vaccine is correlated with the amount of antigen present; however, the protective toxin of P. multocida bound to aluminum hydroxide, which is used as an adjuvant, can hinder the monitoring of the antigen concentration in the vaccine. This study assessed the applicability of a dot immunoassay as an antigen quantification method using monoclonal antibodies. This quantification method was able to detect the antigen with high specificity and sensitivity even when the antigen was bound to the adjuvant, and its application to vaccine products revealed a correlation between the amount of antigen present in the vaccine and the neutralizing antibody titers induced in pigs. The antigen quantification method presented in this study is a simple and sensitive assay capable of quantifying the amount of antigen present in a vaccine that can be used as an alternative quality control measure.
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  • 文章类型: Journal Article
    背景:降钙素原(PCT)是人类细菌呼吸道感染鉴定中有用的生物标志物。
    目的:本研究的目的是研究血清PCT测量作为犬细菌性下呼吸道疾病的诊断生物标志物的实用性。
    方法:用先前对狗验证的ELISA方法测量血清样品中的PCT浓度。所有的狗都接受了彻底的临床检查,呼吸系统疾病的诊断是基于临床和实验室检查结果,诊断成像,以及呼吸道样本的细胞学和细菌培养。用ANOVA模型比较不同队列狗之间的PCT浓度。
    结果:62只私人犬患有呼吸道疾病,25例细菌性肺炎(BP),17由支气管败血波氏杆菌(BB)引起的细菌性支气管炎,20例慢性支气管炎(CB)以及44例健康对照纳入研究。与患有非细菌性呼吸道疾病的犬(CB平均89.7±SD73.5ng/L)或健康犬(平均51.0ng/L±SD37.5ng/L,平均BP平均51.8ng/L±标准偏差[SD]40.6ng/L和BB平均61.4ng/L±SD35.3ng/L)相比,血清PCT浓度无显着差异。在所有比较中p>.05)。
    结论:这些结果表明,尽管是一种有价值的诊断,预后,以及人类肺炎的后续标记,血清PCT浓度在患有细菌性呼吸道疾病的狗中没有升高,因此,不能用作狗的诊断生物标志物。
    BACKGROUND: Procalcitonin (PCT) is a useful biomarker in humans in the identification of bacterial respiratory infections.
    OBJECTIVE: The aim of this study was to investigate the utility of serum PCT measurements as a diagnostic biomarker in canine bacterial lower respiratory tract diseases.
    METHODS: PCT concentrations were measured in serum samples with an ELISA method previously validated for dogs. All dogs underwent thorough clinical examinations, and the diagnosis of respiratory disease was based on clinical and laboratory findings, diagnostic imaging, as well as cytology and bacterial culture of respiratory samples. PCT concentrations between different cohorts of dogs were compared with an ANOVA-model.
    RESULTS: Sixty-two privately owned dogs with respiratory diseases, 25 with bacterial pneumonia (BP), 17 with bacterial bronchitis caused by Bordetella bronchiseptica (BB), and 20 with chronic bronchitis (CB) as well as 44 healthy controls were included in the study. Serum PCT concentrations in dogs with bacterial respiratory diseases (BP mean 51.8 ng/L ± standard deviation [SD] 40.6 ng/L and BB mean 61.4 ng/L ± SD 35.3 ng/L) were not significantly different when compared with dogs with a non-bacterial respiratory disease (CB mean 89.7 ± SD 73.5 ng/L) or healthy dogs (mean 51.0 ng/L ± SD 37.5 ng/L, p > .05 in all comparisons).
    CONCLUSIONS: These results indicate that despite being a valuable diagnostic, prognostic, and follow-up marker in humans with pneumonia, serum PCT concentrations are not elevated in dogs with bacterial respiratory diseases and, therefore, cannot be used as a diagnostic biomarker in dogs.
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  • 文章类型: Journal Article
    支气管败血波氏杆菌是引起哺乳动物呼吸道感染的病原体。随着对伴侣动物福利的理解的提高,解决博德特氏菌疫苗的副作用在狗中变得重要。在人类中积极进行各种亚单位疫苗的研究,以安全有效地控制博德特氏菌病。因此,我们的目标是开发一种受人类疫苗开发启发的犬博德特氏菌疫苗。我们评估了两种细菌成分的免疫原性:来自支气管败血杆菌犬分离株的外膜蛋白(OMPs)和皮肤坏死毒素(DNT)。计算机分析确定了DNT的八个域,并且结构域3被选为最有前途的抗原候选物。此外,提取OMPs并使用SDS-PAGE和Western印迹分析进行检查。分别和联合检查了OMPs和DNT-3的独特免疫学特征。在用这些抗原刺激后,还在DH82细胞中评估基因表达和细胞因子产生。用OMPs治疗导致更高水平的Th1相关细胞因子,而DNT-3在细胞因子产生中诱导与Th17和Th2相关的主要反应。仅在IL-23上观察到协同作用,表明当OMPs和DNT一起作用时副作用的潜在风险增加。这些发现为常规博德特氏菌疫苗的反应原性提供了有价值的见解。Further,本研究中提供的临床前数据为伴侣动物和人类的下一代博德特氏菌疫苗的开发提供了一种替代方法,替代含有毒素和蛋白质成分的无细胞疫苗。
    Bordetella bronchiseptica is a pathogen causing respiratory infections in mammals. With the improving understanding of companion animals\' welfare, addressing the side effects of bordetella vaccine gains importance in dogs. Studies on diverse subunit vaccines are actively pursued in humans to safely and effectively control bordetellosis. Therefore, our objective was to develop a canine bordetella vaccine inspired by human vaccine development. We evaluated the immunogenicity of the two bacterial components: the outer membrane proteins (OMPs) and the dermonecrotic toxin (DNT) from a canine isolate of B. bronchiseptica. In-silico analysis identified eight domains of DNT, and Domain 3 was selected as the most promising antigen candidate. Additionally, the OMPs were extracted and examined using SDS-PAGE and Western blot analysis. The distinct immunological characteristic of OMPs and DNT-3 were examined individually and in combination. Gene expression and cytokine production were also evaluated in DH82 cells after stimulation with those antigens. Treatment with OMPs resulted in higher level of Th1 related cytokines, while DNT-3 induced a predominant response associated with Th17 and Th2 in the cytokine production. Synergistic effects were observed exclusively on IL-23, indicating increase of a potential risk of side effects when OMPs and DNT act together. These findings provide valuable insights into the reactogenicity of conventional Bordetella vaccines. Further, the presented preclinical data in this study offer an alternative method of the development for an optimal next-generation Bordetella vaccine for companion animals and humans, replacing the acellular vaccines containing both toxin and protein components.
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  • 文章类型: Journal Article
    引起哺乳动物呼吸道感染的博德特氏菌包括百日咳杆菌,导致人类百日咳,和B.支气管败血症,感染几乎所有哺乳动物。两种细菌都产生丝状血凝素(FhaB)和腺苷酸环化酶毒素(ACT),突出的表面相关和分泌的毒力因子,通过抑制吞噬细胞的清除而有助于下呼吸道的持久性。FhaB和ACT蛋白与自身相互作用,彼此,和宿主细胞。使用免疫印迹分析,我们表明,ACT与细菌表面的FhaB结合,然后才能在培养上清液中检测到。我们确定SphB1是一种表面蛋白酶,根据其对FhaB裂解的要求鉴定出来的,也需要ACT分裂,我们确定ACT的存在阻断了FhaB的SphB1依赖性和非依赖性裂解,但FhaB的存在并不影响SphB1依赖性的ACT裂解。ACT上的主要SphB1依赖性切割位点邻近ACT的活性位点,在对ACT活动至关重要的地区。我们还确定细菌表面上的FhaB结合的ACT可以使产生CR3(ACT的受体)的宿主细胞中毒。除了增加我们对FhaB的了解,ACT,和Bordetella表面上的FhaB-ACT相互作用,我们的数据与一个模型一致,在该模型中,FhaB通过与ACT结合并允许其在ACT与其受体结合后释放而发挥新型毒素递送系统的功能。CR3,对吞噬细胞。重要细菌需要控制品种,丰度,和蛋白质在其表面的构象生存。革兰氏阴性细菌属的成员包括百日咳杆菌,导致人类百日咳,和B.支气管败血症,在广泛的哺乳动物中引起呼吸道感染。这些物种产生两个突出的毒力因子,两伴侣分泌(TPS)效应FhaB和腺苷酸环化酶毒素(ACT),与自己互动,彼此,和宿主细胞。这里,我们确定ACT在培养上清液中检测到之前在细菌表面结合FhaB,并且与FhaB结合的ACT可以递送至真核细胞。我们的数据与FhaB向吞噬细胞特异性递送ACT的模型一致。这是TPS系统促进将单独的多肽毒素递送到靶细胞的第一份报告,并扩展了我们对TPS系统如何有助于细菌发病机理的理解。
    Bordetella species that cause respiratory infections in mammals include B. pertussis, which causes human whooping cough, and B. bronchiseptica, which infects nearly all mammals. Both bacterial species produce filamentous hemagglutinin (FhaB) and adenylate cyclase toxin (ACT), prominent surface-associated and secreted virulence factors that contribute to persistence in the lower respiratory tract by inhibiting clearance by phagocytic cells. FhaB and ACT proteins interact with themselves, each other, and host cells. Using immunoblot analyses, we showed that ACT binds to FhaB on the bacterial surface before it can be detected in culture supernatants. We determined that SphB1, a surface protease identified based on its requirement for FhaB cleavage, is also required for ACT cleavage, and we determined that the presence of ACT blocks SphB1-dependent and -independent cleavage of FhaB, but the presence of FhaB does not affect SphB1-dependent cleavage of ACT. The primary SphB1-dependent cleavage site on ACT is proximal to ACT\'s active site, in a region that is critical for ACT activity. We also determined that FhaB-bound ACT on the bacterial surface can intoxicate host cells producing CR3, the receptor for ACT. In addition to increasing our understanding of FhaB, ACT, and FhaB-ACT interactions on the Bordetella surface, our data are consistent with a model in which FhaB functions as a novel toxin delivery system by binding to ACT and allowing its release upon binding of ACT to its receptor, CR3, on phagocytic cells.IMPORTANCEBacteria need to control the variety, abundance, and conformation of proteins on their surface to survive. Members of the Gram-negative bacterial genus Bordetella include B. pertussis, which causes whooping cough in humans, and B. bronchiseptica, which causes respiratory infections in a broad range of mammals. These species produce two prominent virulence factors, the two-partner secretion (TPS) effector FhaB and adenylate cyclase toxin (ACT), that interact with themselves, each other, and host cells. Here, we determined that ACT binds FhaB on the bacterial surface before being detected in culture supernatants and that ACT bound to FhaB can be delivered to eukaryotic cells. Our data are consistent with a model in which FhaB delivers ACT specifically to phagocytic cells. This is the first report of a TPS system facilitating the delivery of a separate polypeptide toxin to target cells and expands our understanding of how TPS systems contribute to bacterial pathogenesis.
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  • 文章类型: Journal Article
    支气管败血波氏杆菌是一种高度传染性的呼吸道细菌兽医病原体。在这项研究中,转录调节因子BvgR的贡献,Risa,Riss,以及RisA的磷酸化对全球基因调控,细胞内环状di-GMP水平,运动性,和生物膜的形成进行了评价。下一代测序(RNASeq)用于区分每种因子对毒力激活和毒力抑制基因的整体基因调节。BvgAS系统,还有BvgR,Risa,RisA的磷酸化在环状di-GMP降解中起作用。发现BvgR和未磷酸化的RisA在时间上调节运动。此外,BvgR,Risa,发现生物膜形成需要RisS。
    Bordetella bronchiseptica is a highly contagious respiratory bacterial veterinary pathogen. In this study the contribution of the transcriptional regulators BvgR, RisA, RisS, and the phosphorylation of RisA to global gene regulation, intracellular cyclic-di-GMP levels, motility, and biofilm formation were evaluated. Next Generation Sequencing (RNASeq) was used to differentiate the global gene regulation of both virulence-activated and virulence-repressed genes by each of these factors. The BvgAS system, along with BvgR, RisA, and the phosphorylation of RisA served in cyclic-di-GMP degradation. BvgR and unphosphorylated RisA were found to temporally regulate motility. Additionally, BvgR, RisA, and RisS were found to be required for biofilm formation.
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  • 文章类型: Journal Article
    这项研究提出了一种使用碳水化合物混合物预防哺乳动物中支气管败血波氏杆菌引起的呼吸道感染的生态学方法。在一项体内研究中,用含有1×107CFU支气管败血杆菌和250μg以下碳水化合物之一的溶液处理51天大的新西兰兔:N乙酰葡糖胺(GlcNAc),N乙酰半乳糖胺(GalNAc),α-甲基甘露糖(AmeMan),α-甲基葡萄糖(AmeGlc)和唾液酸(Neu5AC)。阳性(B.包括支气管败血症)和阴性(生理盐水溶液(PSS))对照。与阳性对照相比,用GlcNAc或AmeGlc处理的动物没有显示出感染的临床征象,并且在鼻腔和肺中评估的微观损伤的严重程度上显示出显著降低(p<0.05)。此外,在用这些糖处理的动物的肺中,通过微生物分离或PCR未检测到细菌的存在.使用GlcNAc和AmeGlc的混合物可对微观病变产生更大的抑制作用,与使用单个糖获得的结果相比,这些病变的严重程度显着降低(p<0.05)。此外,通过微生物分离没有检测到细菌,该组中的聚合酶链反应(PCR)或间接免疫过氧化物酶(IIP)。
    This study proposes an ecological approach for preventing respiratory tract infections caused by Bordetella bronchiseptica in mammals using a mixture of carbohydrates. In an in vivo study, 51-day-old New Zealand rabbits were treated with a solution containing 1 × 107 CFUs of B. bronchiseptica and 250 μg of one of the following carbohydrates: N acetylglucosamine (GlcNAc), N acetylgalactosamine (GalNAc), alpha methyl mannose (AmeMan), alpha methyl glucose (AmeGlc) and sialic acid (Neu5AC). Positive (B. bronchiseptica) and negative (Physiological Saline Solution (PSS)) controls were included. Animals treated with GlcNAc or AmeGlc showed no clinical signs of infection and exhibited a significant reduction (p < 0.05) in the severity of microscopic lesions evaluated in the nasal cavity and lung compared with the positive controls. Additionally, the presence of bacteria was not detected through microbiological isolation or PCR in the lungs of animals treated with these sugars. Use of a mixture of GlcNAc and AmeGlc resulted in greater inhibition of microscopic lesions, with a significant reduction (p < 0.05) in the severity of these lesions compared to the results obtained using individual sugars. Furthermore, the bacterium was not detected through microbiological isolation, Polymerase Chain Reaction (PCR) or indirect immunoperoxidase (IIP) in this group.
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  • 文章类型: Case Reports
    支气管败血波氏杆菌是出血性支气管肺炎的罕见原因。对临床医生来说,重要的是清楚地认识到,这种罕见生物的治疗与更常见的博德特氏菌属物种的成功抗生素治疗有很大不同,百日咳和副咳。
    一名64岁的女性在经历了一周的咯血恶化后出现在急诊科。一被录取,她发热,所有初步实验室检查结果均正常。影像学提示的支气管肺泡出血经支气管镜检查证实。支气管肺泡灌洗(BAL)培养物含有未物种的博德特氏菌。咯血的迅速恶化导致插管并决定进行支气管动脉栓塞。然而,咯血的强度持续存在。尽管接受了包括阿奇霉素在内的广谱抗生素治疗,但仍发生了脓毒性休克,万古霉素,还有头孢吡肟.患者死亡后不久,微生物物种形成结果最终确定。鉴定的生物体是支气管败血芽孢杆菌。
    虽然大环内酯类抗生素是百日咳和副日咳的一线治疗,大环内酯类抗生素通常对支气管败血杆菌无效。临床怀疑支气管败血杆菌感染应促使人们考虑已知对这种稀有物种有效的替代抗生素。包括碳青霉烯类和氟喹诺酮类。在微生物物种形成的延迟期间,使用后一种抗生素可被视为经验性治疗。
    UNASSIGNED: Bordetella bronchiseptica is a rare cause of hemorrhagic bronchopneumonia. Important to the clinician is a clear understanding that the treatment of this rare organism differs greatly from the successful antibiotic treatment of the more common Bordetella species, pertussis and parapertussis.
    UNASSIGNED: A 64-year-old female presented to the emergency department after experiencing one week of worsening hemoptysis. Upon admission, she was afebrile and all initial laboratory test results were normal. Bronchoalveolar hemorrhage suggested by radiographic imaging was confirmed by bronchoscopy. Bronchoalveolar lavage (BAL) cultures contained unspeciated Bordetella. Rapid worsening of the hemoptysis led to intubation and the decision to perform bronchial artery embolization. However, the intensity of the hemoptysis persisted. Septic shock ensued despite treatment with broad spectrum antibiotics including azithromycin, vancomycin, and cefepime. The microbiological speciation results finalized shortly after the patient\'s death. The identified organism was B. bronchiseptica.
    UNASSIGNED: Although macrolide antibiotics are first line treatment for B. pertussis and parapertussis, macrolide antibiotics are generally not effective against B. bronchiseptica. Clinical suspicion of B. bronchiseptica infection should prompt consideration of alternative antibiotics known to be effective against this rare species, including carbapenems and fluoroquinolones. The use of these latter antibiotics may advisably be considered as an empirical treatment during the delay of microbiological speciation.
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  • 文章类型: Journal Article
    中耳(ME)适应性免疫系统的功效已得到充分证实,但其机制并不像胃肠道或呼吸道那样明确。虽然已在感染(或鼻内免疫)后的ME中检测到适应性反应的细胞元件,它们对保护器官免受再感染的具体贡献尚不清楚。MEs的免疫保护机制与相邻和附着性上、下呼吸道的免疫保护机制相比如何尚不清楚。为了解决这些知识差距,我们使用了一个已建立的小鼠呼吸道感染模型,我们最近发现该模型也涉及ME感染.支气管败血波氏杆菌以微小的数量被输送到小鼠的外部鼻孔,非常有效地感染呼吸道并上升咽鼓管以定植并感染ME,它引起类似于人类急性中耳炎(AOM)的严重但急性的炎症。由于此AOM自然解析,我们在这里研究清除感染和防止随后感染的免疫机制,指导在ME中诱导保护性免疫的努力。我们的结果表明,一旦MEs被清除了原发性支气管败血杆菌感染,尽管其在上呼吸道中持续存在,但恢复期器官仍受到强大的保护,免受病原体的再次感染,表明这些相邻和相连器官的重要免疫学差异。CD4+和CD8+T细胞在感染后被运输到MEs,并且是强有力地防止二次攻击所必需的。经鼻内接种热杀死的支气管败血杆菌可对MEs提供强大的保护,防止感染。尽管鼻咽本身只受到部分保护。这些数据将ME确立为适应性免疫的离散效应位点,并显示ME和呼吸道中的有效保护显着不同。该模型系统可以解剖免疫机制,以防止鼻咽中的细菌升高ET定植ME。
    The efficacy of the adaptive immune system in the middle ear (ME) is well established, but the mechanisms are not as well defined as those of gastrointestinal or respiratory tracts. While cellular elements of the adaptive response have been detected in the MEs following infections (or intranasal immunizations), their specific contributions to protecting the organ against reinfections are unknown. How immune protection mechanisms of the MEs compares with those in the adjacent and attached upper and lower respiratory airways remains unclear. To address these knowledge gaps, we used an established mouse respiratory infection model that we recently showed also involves ME infections. Bordetella bronchiseptica delivered to the external nares of mice in tiny numbers very efficiently infects the respiratory tract and ascends the Eustachian tube to colonize and infect the MEs, where it causes severe but acute inflammation resembling human acute otitis media (AOM). Since this AOM naturally resolves, we here examine the immunological mechanisms that clear infection and protect against subsequent infection, to guide efforts to induce protective immunity in the ME. Our results show that once the MEs are cleared of a primary B. bronchiseptica infection, the convalescent organ is strongly protected from reinfection by the pathogen despite its persistence in the upper respiratory tract, suggesting important immunological differences in these adjacent and connected organs. CD4+ and CD8+ T cells trafficked to the MEs following infection and were necessary to robustly protect against secondary challenge. Intranasal vaccination with heat killed B. bronchiseptica conferred robust protection against infection to the MEs, even though the nasopharynx itself was only partially protected. These data establish the MEs as discrete effector sites of adaptive immunity and shows that effective protection in the MEs and the respiratory tract is significantly different. This model system allows the dissection of immunological mechanisms that can prevent bacteria in the nasopharynx from ascending the ET to colonize the ME.
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