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1.
白细胞介素-10(IL-10)增高是口蹄疫病毒(FMDV)感染过程中显著特征之一。本研究旨在探讨IL-10对FMDV感染小鼠外周血T细胞增殖及其表达效应功能相关细胞因子的影响。采用CCK-8和流式细胞术分别检测小鼠外周血T细胞增殖和T细胞表达效应功能相关细胞因子(TNF-α、IFN-γ和IL-2)。结果显示,与对照小鼠相比,FMDV感染小鼠(感染12、24、36和48 h)外周血T细胞对刀豆蛋白A刺激的增殖均显著下降(P<0.05或P<0.01);FMDV感染小鼠的外周血CD4+T细胞表达TNF-α和IL-2均显著下降(均P<0.01),CD8+T细胞表达TNF-α、IFN-γ和IL-2也显著下降(P<0.01或P<0.000 1)。体内阻断IL-10/IL-10R信号或者敲除IL-10均能显著恢复FMDV感染小鼠外周血T细胞的增殖(P<0.05或P<0.01),但不影响CD4+和CD8+T细胞表达TNF-α、IFN-γ和IL-2。本研究首次揭示FMDV能抑...  相似文献   

2.
1日龄SPF鸡分别接种禽网状内皮组织增生病病毒(REV)、禽呼肠孤病毒(ARV)和REV+ARV,于感染后3、5、46 d采集脾细胞做脾淋巴细胞培养并采用双抗体夹心ELISA法检测IFN-γ水平。结果表明,与对照相比,鸡感染REV后脾淋巴细胞IFN-γ的分泌水平显著升高。感染后5 d,REV单独感染引起IFN-γ8倍的增长,达到峰值,然后逐渐下降。ARV单独感染引起IFN-γ2倍的增长。REV和ARV共感染鸡脾淋巴细胞IFN-γ的分泌量增长了3倍。至感染后46 d,共感染和REV单独感染的IFN-γ水平与对照组相比仍然差异显著,ARV单独感染与对照组相比差异不再显著。  相似文献   

3.
检测外周血T淋巴细胞、嗜中性粒细胞、CD4+、CD8+细胞百分数及IL-2、IL-4和IFN-γ含量的变化,研究黄芪多糖(APS)对PCV2阳性猪免疫功能的调节作用。结果显示,APS能显著增加外周血T淋巴细胞、NBT阳性细胞、CD4+T细胞百分数及IL-2、IL-4、IFN-γ含量,显著降低CD8+T细胞百分数,推测APS通过上调CD4+细胞百分数、CD4+/CD8+及Th1反应恢复正常免疫机能。  相似文献   

4.
为探讨猪瘟病毒(CSFV)弱毒株T株和野毒株G株感染对猪外周血T淋巴细胞亚群、TNF-α和IFN-γ的影响,本研究应用流式细胞术和ELISA等方法检测CSFV感染猪与未感染猪的白细胞凋亡、CD4+与CD8+T淋巴细胞亚群数量的动态变化以及TNF-α和IFN-γ的动态变化。结果表明,猪感染CSFV T株和G株第4 d和第7 d后CD4+T淋巴细胞比例分别为28.6%、26%和26%、20%,未感染前分别为33.4%和36.8%。猪感染CSFV T株和G株第4 d、第7 d后CD8+T淋巴细胞比例分别为41%、32%和38%、25%,感染前分别为43.8%和48.8%。外周血白细胞凋亡的检测结果显示,猪感染CSFV T株和G株第7 d后,白细胞凋亡比例分别为8.35%和9.89%,未感染的猪为1.63%。ELISA检测结果表明,猪感染CSFV T株和G株第7 d后,TNF-α的产生量分别为553.4 pg/mL和594.2 pg/mL;IFN-γ的产生量分别为8.2 pg/mL和9.8 pg/mL,未感染猪分别为498 pg/mL、12.5 pg/mL。以上结果提示,CSFV感染会引起机体免疫相关细胞及免疫分子发...  相似文献   

5.
为了明确禽呼肠孤病毒(avian reovirus,ARV)感染对宿主天然免疫应答的影响,利用实时荧光定量PCR方法检测ARV感染SPF鸡后外周血淋巴细胞中天然免疫相关基因,包括Toll样受体(TLRs)、MDA5、IPS-1、IRF-3、IFN-α、IFN-β、IFN-γ、IFITM3、Mx1和OASL等基因在感染后0、12h以及1、2、3、5和7d的转录水平变化。结果表明,ARV感染SPF鸡后7d以内,外周血淋巴细胞中TLR3和TLR21的mRNA转录水平显著降低(P0.05或P0.01);而TLR7和MDA5的mRNA转录水平则在整个试验过程中显著升高,分别在7dpi和1dpi达到峰值(P0.05或P0.01)。IPS-1的mRNA转录被抑制;IRF-3则呈显著转录上调趋势;IFN-α、IFN-β和IFN-γ均表达上调,分别在2~3dpi达到峰值(P0.05或P0.01)。IFITM3、Mx1、OASL的mRNA转录水平也显著升高,均在3dpi达到峰值(P0.01)。试验结果表明ARV在感染早期能够显著性引起TLR7、MDA5、IRF3、IFN-α、IFN-β、IFN-γ、IFITM3、Mx1和OASL的转录上调,抑制TLR3、TLR21和IPS-1的转录,为进一步阐释ARV的分子致病机制和免疫应答机制奠定了基础。  相似文献   

6.
将10日龄的SPF鸡和15、28日龄的商品鸡分别随机分组,同时免疫不同剂量的rFPV-HN(表达NDV HN基因重组鸡痘病毒)和表达不同细胞因子(IL-1β、IL-2、IFN-γ、MGF)的重组鸡痘病毒(rFPVs)。在免疫后不同时间,通过检测血液中抗NDV的HN蛋白抗体、脾脏中CD4+和CD8+T细胞的变化及攻毒保护率等指标。结果表明:IL-1β或IFN-γ在免疫后期能促进抗HN间接ELISA抗体的滴度上升,而且产生抗体的整齐度好;IL-1β或IL-2可以显著增加脾脏中CD4+和CD8+T细胞含量;IL-1β、IL-2或IFN-γ同样可以提高商品鸡攻毒后的存活率。IL-2和IFN-γ在增加脾脏中CD4+和CD8+T细胞的数量及攻毒保护方面表现出一定的协同增强作用。  相似文献   

7.
采用免疫荧光法、使用流式细胞检测仪对经H9亚型禽流感病毒人工感染SPF鸡、H9亚型禽流感油乳剂灭活苗免疫SPF鸡以及经免疫后使用H9亚型禽流感病毒攻毒后的SPF鸡外周血、脾脏、胸腺中T细胞表型亚类(CD4+、CD8+、TCR1+)的变化规律进行了监测,结果表明,H9亚型禽流感油乳剂灭活苗免疫后抗原的缓慢释放可在一定程度上激发机体的细胞免疫应答,使免疫活性T淋巴细胞得到活化,免疫后鸡体外周血中CD4+、CD8+和TCR1+T细胞的数量呈现出一明显升高的过程;同时,人工感染免疫鸡后,脾脏和胸腺TCR1+T细胞的数量上升,外周血CD4+、CD8+和TCR1+T细胞的数量少量降低或维持不变,随后短期即恢复正常;而人工感染SPF对照鸡后,外周血CD4+、CD8+和TCR1+T细胞的数量呈现下降趋势.  相似文献   

8.
为探究重组鸡白细胞介素-6/2融合蛋白(rChIL-6-Linker-ChIL-2,重组融合蛋白)对新城疫病毒(NDV)活疫苗(LaSota株)的免疫增强作用,本研究将90只SPF鸡随机分为6组,分别为PBS对照组、NDV弱毒苗对照组、rChIL-6-Linker-ChIL-2免疫增强组、rChIL-6蛋白免疫增强组、rChIL-2蛋白免疫增强组及rChIL-6+rChIL-2混合蛋白免疫增强组,将鸡白细胞介素重组融合蛋白水剂与LaSota株联合接种于SPF鸡,分别采用MTS法、流式细胞术、ELISA和HA/HI法检测接种前后不同时间各组鸡外周血及脾淋巴细胞增殖活性、鸡外周血中CD3+CD4+/CD3+CD8+T淋巴细胞的百分含量、血清中Th1/Th2型细胞因子表达水平及免疫抗体水平等指标。结果显示,接种后7~21d时,与NDV弱毒苗对照组相比,同时接种重组融合蛋白组鸡淋巴细胞增殖活性、外周血CD3+CD4+/CD3+CD8+T淋巴细胞的百分含量比值及血清中重组鸡IL-4蛋白(rChIL-4)、ChIL-6、ChIL-2、重组鸡IFN-α蛋白(ChIFN-α)、ChIFN-γTh1/Th2型细胞因子表达水平明显提升;HI免疫抗体较NDV弱毒苗对照组提高了1.0~1.9个滴度,较单一rChIL-6、rChIL-2对照组分别提高了0.2~0.7、0.2~1.1个抗体滴度。综上所述,rChIL-6-Lin-ker-ChIL-2融合蛋白对NDV(LaSota株)活疫苗在鸡体内具有明显的免疫增强效果。  相似文献   

9.
为探索禽网状内皮组织增生症病毒(REV)感染对雏鸡外周血液细胞免疫功能及其相关细胞因子的影响,将60只1日龄SPF雏鸡随机分为REV感染组和未感染REV的对照组,应用流式细胞术结合ELISA等免疫学方法,通过血液T淋巴细胞亚型数量与比值变化,以及其免疫相关因子含量等动态变化的检测,系统地研究REV感染对SPF雏鸡血液细胞免疫功能的影响。结果显示,REV感染SPF雏鸡外周血液CD4~+T淋巴细胞在整个试验期间均明显低于对照雏鸡(P0.05),而CD8~+T淋巴细胞数量除病毒感染后第7天明显增加(P0.01)外,其余被检时间点均显著低于对照雏鸡(P0.05或P0.01), CD4~+与CD8~+T淋巴细胞比值在病毒感染早期较对照雏鸡明显增加,而病毒感染后期显著低于对照雏鸡,与相应对照雏鸡比较,REV感染SPF雏鸡血液IL-2和IFN-γ含量明显降低(P0.05),而IL-4和IL-10含量显著上升(P0.05)。结果表明,REV感染所致的SPF雏鸡血液免疫功能抑制与其降低雏鸡外周血液免疫增强因子含量,增加免疫抑制因子含量及减少CD4~+和CD8~+T淋巴细胞数量密切相关。  相似文献   

10.
为探究重组鸡白细胞介素-6/2融合蛋白(rChIL-6-Linker-ChIL-2,重组融合蛋白)对新城疫病毒(NDV)活疫苗(LaSota株)的免疫增强作用,本研究将90只SPF鸡随机分为6组,分别为PBS对照组、NDV弱毒苗对照组、rChIL-6-Linker-ChIL-2免疫增强组、rChIL-6蛋白免疫增强组、rChIL-2蛋白免疫增强组及rChIL-6+rChIL-2混合蛋白免疫增强组,将鸡白细胞介素重组融合蛋白水剂与LaSota株联合接种于SPF鸡,分别采用MTS法、流式细胞术、ELISA和HA/HI法检测接种前后不同时间各组鸡外周血及脾淋巴细胞增殖活性、鸡外周血中CD3+CD4+/CD3+CD8+T淋巴细胞的百分含量、血清中Th1/Th2型细胞因子表达水平及免疫抗体水平等指标。结果显示,接种后7~21d时,与NDV弱毒苗对照组相比,同时接种重组融合蛋白组鸡淋巴细胞增殖活性、外周血CD3+CD4+/CD3+CD8+T淋巴细胞的百分含量比值及血清中重组鸡IL-4蛋白(rChIL-4)、ChIL-6、ChIL-2、重组鸡IFN-α蛋白(ChIFN-α)、ChIFN-γTh1/Th2型细胞因子表达水平明显提升;HI免疫抗体较NDV弱毒苗对照组提高了1.0~1.9个滴度,较单一rChIL-6、rChIL-2对照组分别提高了0.2~0.7、0.2~1.1个抗体滴度。综上所述,rChIL-6-Lin-ker-ChIL-2融合蛋白对NDV(LaSota株)活疫苗在鸡体内具有明显的免疫增强效果。  相似文献   

11.
试验选用96头平均体重14.82 kg左右的杜×长×大断奶仔猪,随机分成4组,每组3栏,每栏8头(公母各半)。对照组饲喂基础日粮,试验1、2、3组分别添加1%80目白术、0.2%白术多糖和1%微米白术。试验期30 d。结果表明:在生长性能方面,与对照组相比,1%微米白术添加组可显著提高日增重(P0.05)、降低饲料增重比和腹泻率,而且效果优于1%80目白术组和0.2%白术多糖组,在肠道形态和肠道微生态区系方面,与对照组相比,日粮添加1%80目白术、0.2%白术多糖、1%微米白术均可不同程度的提高十二指肠和空肠的绒毛高度,加深十二指肠和空肠的隐窝深度,并且增加肠道微生态区系的多样性,其中以1%微米白术添加组的效果最佳。  相似文献   

12.
Sissay, M.M., Uggla, A. and Waller, P.J., XXXX. Prevalence and seasonal incidence of nematode parasites and fluke infections of sheep and goats in eastern Ethiopia. Tropical Animal Health and Production, XXXX. A 2-year abattoir survey was carried out to determine the prevalence, abundance and seasonal incidence of gastro-intestinal (GI) nematodes and trematodes (flukes) of sheep and goats in the semi-arid zone of eastern Ethiopia. During May 2003 to April 2005, viscera including liver, lungs and GI tracts were collected from 655 sheep and 632 goats slaughtered at 4 abattoirs located in the towns of Haramaya, Harar, Dire Dawa and Jijiga in eastern Ethiopia. All animals were raised in the farming areas located within the community boundaries for each town. Collected materials were transported within 24 h to the parasitology laboratory of Haramaya University for immediate processing. Thirteen species belonging to 9 genera of GI nematodes (Haemonchus contortus, Trichostrongylus axei, T. colubriformis, T. vitrinus, Nematodirus filicollis, N. spathiger, Oesophagostomum columbianum, O. venulosum, Strongyloides papillosus, Bunostomum trigonocephalum, Trichuris ovis, Cooperia curticei and Chabertia ovina), and 4 species belonging to 3 genera of trematodes (Fasciola hepatica, F. gigantica, Paramphistomum {Calicohoron} microbothrium and Dicrocoelium dendriticum) were recorded in both sheep and goats. All animals in this investigation were infected with multiple species to varying degrees. The mean burdens of adult nematodes were generally moderate in both sheep and goats and showed patterns of seasonal abundance that corresponded with the bi-modal annual rainfall pattern, with highest burdens around the middle of the rainy season. In both sheep and goats there were significant differences in the mean worm burdens and abundance of the different nematode species between the four geographic locations, with worm burdens in the Haramaya and Harar areas greater than those observed in the Dire Dawa and Jijiga locations. Similar seasonal variations were also observed in the prevalence of flukes. But there were no significant differences in the prevalence of each fluke species between the four locations. Overall, the results showed that Haemonchus, Trichostrongylus, Nematodirus, Oesophagostomum, Fasciola and Paramphistomum species were the most abundant helminth parasites of sheep and goats in eastern Ethiopia.  相似文献   

13.
The purpose of this study was to determine the frequency of different tumor types within a large cohort of cats with intracranial neoplasia and to attempt to correlate signalment, tumor size and location, and survival time for each tumor. Medical records of 160 cats with confirmed intracranial neoplasia evaluated between 1985 and 2001 were reviewed. Parameters evaluated included age, sex, breed, FeLV/FIV status, clinical signs, duration of signs, number of tumors, tumor location(s), imaging results, treatment, survival times, and histopathologic diagnosis. Most of the cats were older (11.3 +/- 3.8 years). Primary tumors accounted for 70.6% of cases. Metastasis and direct extension of secondary tumors accounted for only 5.6 and 3.8% of cases, respectively. Twelve cats (7.5%) had 2 or more discrete tumors of the same type, whereas 16 cats (10.0%) had 2 different types of intracranial tumors. The most common tumor types were meningioma (n = 93, 58.1%), lymphoma (n = 23, 14.4%), pituitary tumors (n = 14, 8.8%), and gliomas (n = 12, 7.5%). The most common neurological signs were altered consciousness (n = 42, 26.2%), circling (n = 36, 22.5%), and seizures (n = 36, 22.5%). Cats without specific neurological signs were common (n = 34, 21.2%). The tumor was considered an incidental finding in 30 (18.8%) cats. In addition to expected relationships (eg, meninges and meningioma, pituitary and pituitary tumors), we found that lesion location was predictive of tumor type with diffuse cerebral or brainstem involvement predictive of lymphoma and third ventricle involvement predictive of meningioma.  相似文献   

14.
Genetic variations in chromosome Y are enabling researchers to identify paternal lineages, which are informative for introgressions and migrations. In this study, the male‐specific region markers, sex‐determining region‐Y (SRY), amelogenin (AMELY) and zinc finger (ZFY) were analysed in seven Turkish native goat breeds, Angora, Kilis, Hair, Honaml?, Norduz, Gürcü and Abaza. A SNP in the ZFY gene defined a new haplotype Y2C. All domestic haplogroups originate from Capra aegagrus, while the finding of Y1A, Y1B, Y2A and Y2C in 32, 4, 126 and 2 Turkish domestic goats, respectively, appears to indicate a predomestic origin of the major haplotypes. The occurrence of four haplotypes in the Hair goat and, in contrast, a frequency of 96% of Y1A in the Kilis breed illustrate that Y‐chromosomal variants have a more breed‐dependent distribution than mitochondrial or autosomal DNA. This probably reflects male founder effects, but a role in adaptation cannot be excluded.  相似文献   

15.
16.
Infectious diseases have always been a terrible scourge for humans. The appearance of these plagues, as they were called without distinction, was generally connected to various conditions: asters, climatic changes or religious reasons. The concept of contagious, and then infectious, diseases came slowly. Variolation, i.e. transmission of ‘virulent’ matter to induce a natural disease and the immunity against it, was brought from Constantinople to England by Lady Montague, in 1721. This ‘variolation’ technique was also often performed in veterinary medicine against diseases like sheep-pox or pleuropneumonia. As ‘vaccination’ is the term generally accepted for ‘immunisation’, variolation can be the word designating such a technique. The second period of the history of immunisation began, in 1880, with the studies of Pasteur and his collaborators. A great number of bacterial vaccines were developed: dead, live but attenuated or only parts of pathogens. The viruses were produced in animals, then in eggs and at last, in tissue cultures. Second generation vaccines appeared with genetic engineering: recombinant vaccines, vector vaccines, nucleic acids vaccines, and markers vaccines, among others. These novel technologies can permit the development of new ones and improve the quality of the vaccines already existing.  相似文献   

17.
The ash, silica and certain important micronutrients were estimated in conventional and unconventional feed and fodder resources available in Southern India. Commonly used dry roughages, such as paddy straw, ragi straw, maize kadbi/stalk, jowar kadbi/stalk, bajra stalk and wheat straw, were high in ash (9.9% +/- 0.77%) and silica (6.4% +/- 0.65%) and low in most of the other micronutrients, except iron, with paddy straw containing most silica (>9%). Cultivated non-leguminous (maize, jowar) and improved green crops (hybrid napier, guinea, green panic, NB-21, CO-1) were also high in ash (10.5% +/- 0.60% and 12.5% +/- 0.51%) but were moderate sources of P, Mg and Cu and good sources of Zn (98 +/- 13.8 ppm and 55 +/- 6.7 ppm). Leguminous green fodders (stylosanthus, lucerne, cow pea, soyabean) were excellent sources of Ca (1.9% +/- 0.16%), Mg (0.40% +/- 0.05%), Cu (30 +/- 5.2 ppm), Zn (121 +/- 14.7 ppm) and Fe (1234 +/- 166 ppm) and moderate sources of P. Mixed local grasses and weeds were high in silica (6.9% +/- 1.00%) but were good sources of Cu, Zn and Fe. Cereal grains (maize, wheat, rice, ragi) were low in ash (2.9% +/- 0.33%) and were relatively poor sources of Ca (0.22% +/- 0.03%), Mg (0.19% +/- 0.03%) and Cu (13 +/- 3.1 ppm). Pulses were low to medium sources of most minerals and good sources of Fe (1230 +/- 293 ppm). Oil seed cake/extractions (groundnut cake, cotton seed cake, soyabean meal, sunflower cake, safflower cake) and cereal by-products (rice polish, rice bran, wheat bran) were excellent sources of P (1.1% +/- 0.47% and 2.3% +/- 0.19%) and good sources of Zn (65 +/- 3.9 ppm and 66 +/- 10.7 ppm) and Fe (938 +/- 130 ppm and 662 +/- 126 ppm). Among the unconventional feeds screened, orange peel, sunflower heads, meat meal, rubber seed cake, spirulina algae and sea weeds contained plentiful Ca, Zn and Fe: tree leaves/top feeds (mulberry, erythrina, glyricidia, banana, subabul, groundnut haulms) were excellent sources of Ca (1.5% +/- 0.13%), Zn (120 +/- 22.9 ppm) and Fe (1033 +/- 133 ppm) but relatively poor sources of P. Soyabean husk, cocoa seed husk, rubber seed cake and meat meal were moderate to good sources of P (1.0% and 0.33%). The high Zn and Fe values of most feeds/fodders were probably due to soil contamination. This account of the micronutrient content of feed/fodder resources should help in strategic supplementation intended to alleviate local deficiencies.  相似文献   

18.
Bovine Mastitis in Selected Areas of Southern Ethiopia   总被引:3,自引:0,他引:3  
A study on bovine mastitis, designed to determine the causal agents, prevalence of infection and impact of risk factors in three cattle breeds, was conducted in selected areas of southern Ethiopia. A total of 307 lactating and non-lactating cows, of which 162 were indigenous Zebu, 85 Jersey and 60 Holstein-Friesian, were examined by clinical examination and the California mastitis (CMT) test. Of these, 40.4% were positive by CMT and bacteriology for clinical or subclinical mastitis, with prevalence rates of 37.1% and 62.9%, respectively. Out of 1133 quarters examined, 212 (18.7%) were found to be infected, 83 (39.2%) clinically and 129 (60.8%) subclinically. The prevalence of mastitis was significantly higher in Holstein-Friesian than in indigenous Zebu, in non-lactating cows than in lactating cows, in the early lactation stage than in the mid-lactation stage, in cows with lesions and/or tick infestation on skin of udder and/or teats than in cows without this factor, and in the wet season than in the dry season. Mastitis increased with parity number (R = 0.9). Of 248 CMT and clinically positive udder quarter samples analysed microbiologically, 212 were culturally positive for known mastitis pathogens and 36 were negative. Of the 199 positive samples, Staphylococcus accounted for 39.2%, Streptococcus for 23.6%, coliforms for 14.1%, Micrococcus and Bacillus species for 8.0% each and Actinomyces or Arcanobacterium (Corynebacterium) for 7.0%. It was concluded that there was a high prevalence of clinical and subclinical mastitis, mainly caused by Staphylococcus aureus, Streptococcus agalactiae and Escherichia coli, in this study area.  相似文献   

19.
不同日粮氮水平对山羊氮代谢和微生物蛋白质合成的影响   总被引:2,自引:0,他引:2  
本试验旨在探讨不同日粮氮水平对内蒙古白绒山羊氮代谢和微生物蛋白质合成(MCP)的影响,以达到提高氮利用率,减少环境污染和饲料资源的浪费。试验选用9只体况良好、体重为(43.83±2.95)kg,装有瘤胃瘘管的内蒙古白绒山羊,按体重随机分为3组,每组3只。日粮分为低氮7.5%、中氮10.5%、高氮13.5%3个氮水平。试验使用常规试验方法分析测定粪尿血液等生化指标,通过全收尿法和尿嘌呤衍生物法估测MCP。结果表明:随着氮水平增加,氨氮(NH3-N)浓度、氮摄入量、尿氮排出、尿中尿素氮(UUN)和MCP显著增加(P0.05),干物质采食量(DMI)显著降低(P0.01);沉积氮占总摄入氮的比例在中氮组最高,MCP在高氮组最高。综上所述,适当降低日粮氮水平可减少粪尿氮排放,提高反刍动物氮利用率。  相似文献   

20.
A microsporidial keratopathy is described in two dogs. Both dogs presented with a unilateral stromal keratopathy characterized by multifocal coalescing opacities, and the diagnosis was made on histopathologic examination of keratectomy specimens. Transmission electron microscopy (TEM) on formalin‐fixed, paraffin‐embedded corneal tissue was performed in one dog, and the morphologic features were consistent with Nosema species infection. Both dogs were initially diagnosed and treated by superficial keratectomy. One dog received additional antifungal medication and underwent a penetrating keratoplasty following local recurrence two years later. No other systemic lesions attributable to the microsporidial infection were identified clinically. The clinical and diagnostic pathology findings, treatment, and follow‐up are discussed.  相似文献   

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