Bartonella quintana bacteremia among homeless people

Bartonella quintana bacteremia among homeless people
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DOI:
10.1086/342065
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发表时间:
2002-09-15
影响因子:
11.8
通讯作者:
Raoult, D
Raoult, D
中科院分区:
医学1区
文献类型:
--
作者:
Foucault, C;Barrau, K;Raoult, D

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金塔巴尔通体感染最近再次出现,主要是在欧洲和美国城市的无家可归人群中。 B. quintana 可引起战壕热、心内膜炎和慢性菌血症;人体虱子是唯一已知的媒介。研究人员对法国马赛大学医院急诊科就诊的无家可归者以及自 1997 年 1 月 1 日以来入住该市其他医疗机构的无家可归者进行了研究。收集了血液和体虱样本,用于五体虱培养和血清学检测。巴尔通体菌血症与出汗、虱子感染证据、五体巴尔通体血清学检测呈阳性以及五体巴尔通体抗体滴度高有关。菌血症也与无家可归有关
Bartonella quintana infections have recently reemerged, predominantly among the homeless populations in cities in both Europe and the United States. B. quintana can cause trench fever, endocarditis, and chronic bacteremia; the human body louse is the only known vector. Homeless people who presented to the emergency departments of University Hospital in Marseilles, France, were studied, as were those who had been admitted to other medical facilities in the city since 1 January 1997. Samples of blood and body lice were collected for culture for B. quintana and for serological testing. Bartonella bacteremia was associated with sweats, evidence of louse infestation, serological tests that were positive for B. quintana, and high titers of B. quintana antibody. Bacteremia was also associated with being homeless for