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截止1991年4月30日,南美的5个国家:巴西、智利、哥伦比亚、厄瓜多尔和秘鲁报告了流行性霍乱。此外,美国的佐治亚,新泽西、佛罗里达州共报告了10例与流行性霍乱有关的确诊病例。本文概括了有关新泽西与佛罗里达州所报告的病例资料。新泽西:从3月31日到4月3日,Hudson县和 Union 县的8名居民在吃了从南美运去的蟹肉之后,发生了剧烈水样腹泻。5名患者还报告有呕吐,至少有3人有过严重的腿痉挛;5人住院治疗。吃这种蟹肉与患病有统计学联系;在出席了二餐有蟹供应的11人中,吃了蟹的8人全部发病;没吃蟹的3人未发病(p<0.01)。每个病人均在吃了蟹肉后3天之内发病。取8名病人粪样,从4人中分离出产毒的 O_1群霍乱弧菌,稻叶血清型,埃尔托生物型,与南美流行的血清型相同。从4名培养阴性患者获得的恢复期血清标本查出杀弧菌抗体滴度≥1:1280,表明近期有过霍乱弧菌感染。
As of April 30, 1991, five countries in South America: Brazil, Chile, Colombia, Ecuador and Peru reported an epidemic of cholera. In addition, a total of 10 confirmed cases of epidemic cholera were reported in the United States of Georgia, New Jersey and Florida. This article summarizes the case data reported in New Jersey and Florida. New Jersey: Between March 31 and April 3, eight residents of Hudson County and Union County experienced severe watery diarrhea after eating crab meat shipped from South America. Five patients also reported vomiting, at least three had severe leg spasms and five were hospitalized. Eating crab meat and the disease was statistically linked; in attendance two meals with crab supply of 11 people, all of the eight people who eaten crab; no crab 3 were not affected (p <0.01). Each patient within 3 days after eating crab disease. Take 8 patient fecal samples, isolated from 4 people producing poisonous O1 group Vibrio cholerae, rice leaf serotype, Elto biological type, and the prevalence of serotypes in South America the same. The recovery of sera collected from 4 cultured negative patients detected an ampicillin antibody titer ≥1: 1280, indicating a recent infection with V. cholerae.