利奈唑胺治疗耐甲氧西林金黄色葡萄球菌肺炎的疗效及影响因素分析

目的 分析利奈唑胺治疗耐甲氧西林金黄色葡萄球菌(MRSA)肺炎的疗效、影响因素及安全性.方法 回顾性分析41例利奈唑胺治疗MRSA肺炎的临床资料.结果 利奈唑胺治疗MRSA肺炎的有效率为78.0%,细菌清除率为73.2%,不良反应率为2.4%.血培养阳性、合并感染性心内膜炎者的临床疗效及细菌清除率明显降低(P＜0.05...     

Sphingosine-1-phosphate receptor 2 attenuates influenza A virus-induced viral pneumonia through PI3K/AKT/eNOS pathway

AIM: To investigate the effects of sphingosine-1-phosphate receptor 2 (S1PR2) on influenza A virus-induced viral pneumonia.METHODS: The animal model of influenza A virus pneumonia was established by infecting wild-type C57BL/6 mice and S1pr2^-/- mice with influenza virus subtype FM1 mouse lung adaptable strain through nose drops. The pathological changes of the lung tissues of wild-type mice (model group), JTE-013 (S1PR2 effective antagonist)-challenged mice and S1pr2^-/- mice were observed, and the protein concentration, total cell number, and interleukin (IL)-1β, IL-6 and tumor necrosis factor-α (TNF-α) levels were determined in the bronchoalveolar lavage fluid (BALF) at 4 d and 6 d after virus infection. The phosphorylation levels of AKT and eNOS in the lung tissues were determined by Western blot. RESULTS: Compared with the wild-type mice of control group, the influenza A virus pneumonia in JTE treatment group and S1pr2^-/- mice were more serious, and the protein concentration, total cell number and inflammatory cytokines in the BALF were remarkably increased. Moreover, the phosphorylation levels of AKT and eNOS, the downstream targets of PI3K, were significantly increased (P<0.01). CONCLUSION: S1PR2 mediates PI3K/AKT/eNOS signaling transduction pathway to regulate NO generation, and inhibit vascular permeability and inflammatory cytokine release, thus attenuating the viral pneumonia induced by influenza A virus.     

新生犊牛异物性肺炎的治疗

新生犊牛异物性肺炎是多种牛肺炎的一种,多由于母牛难产、羊水进入犊牛气管和肺内后引起或犊牛出生后哺乳时导致乳汁进入气管而造成的一种犊牛呼吸道疾病。笔者在诊疗过程中遇到一例典型的新生犊牛异物性肺炎病例,现将诊疗体会分享如下。     

Lung worm (Marsupostrongylus spp.) infection in common brushtail possums (Trichosurus vulpecula)

Marsupostrongylus spp. are the metastrongyloid nematodes most commonly associated with verminous pneumonia in Australian marsupials. Currently, there is a scarcity of information regarding this parasite in the common brushtail possum (Trichosurus vulpecula). Thirty-four free-living possums submitted to two wildlife hospitals in Sydney, Australia, between 2008 and 2015 were diagnosed with verminous pneumonia on postmortem examination. The majority of possums presented ill with multiple comorbidities. However, only five cases had clinical signs of respiratory disease. Necropsy and histopathology revealed extensive lung lesions characterised by diffuse, mixed interstitial infiltrates of macrophages, lymphocytes and plasma cells with mild to marked concentrations of eosinophils. Bronchopneumonia, pulmonary oedema, interstitial fibrosis, atelectasis and type II pneumocyte hyperplasia were also present in most cases. Adult nematodes, first-stage larvae and embryonating eggs were present in the large airways and alveolar spaces. The parasites were definitively identified as Marsupostrongylus spp. in eight cases with presumptive diagnoses based on histopathological characteristics reached in a further 26 cases. Twenty-nine of the 34 affected possums were adults with no sex predisposition. A review of the brushtail possum records at Taronga Wildlife Hospital from 1999 to 2015 revealed no lungworm infections were reported in the 45 possums examined before 2008. However, between 2008 and 2015, 30 of 47 possums (63.8%) examined were diagnosed with metastrongyloid lungworms. This case series is the first detailed report of Marsupostrongylus nematodes in common brushtail possums and highlights the clinical and pathological features, along with epidemiological findings.     

几例犊牛肺炎的诊疗体会

犊牛肺炎是犊牛的一种常见病,以小叶性肺炎多见,多发于气温低、天气严寒的1-3月份出生的6~30日龄的犊牛。通过病因调查分析,该病可能发生的原因是阴天、雨天、风天和夜间低温、牛舍空气污浊、有烟雾、牛只拥挤、缺乏运动等。临床检查发现主要是呼吸道症状。患肺炎的犊牛,死亡率很高,患过肺炎的犊牛很容易发生呼吸道疾病。通过以抗菌素、磺胺类为主,配以强心补液的治疗措施获得良好疗效。因此笔者认为,应采用正确的饲养管理预防,并及时给予治疗病牛,才能避免造成更大经济损失。     

水貂出血性肺炎的实验室诊断方法研究进展

水貂出血性肺炎是由铜绿假单胞菌引起的严重威胁养貂业的重要疾病之一。文中概述了水貂出血性肺炎的实验室诊断方法研究进展,在病原学方面,主要依靠细菌分离培养、生化试验、特异性抗原及其抗体的检查等;在分子生物学方面,主要依靠国内外相继建立起的PCR技术和LAMP技术等。介绍和比较了各种方法的优缺点和实用性,为临床兽医科技工作者建立快速、简便、准确、实用的诊断提供参考。     

水貂出血性肺炎大肠杆菌毒力基因测定和H基因分型

为了分离鉴定引起水貂出血性肺炎的大肠杆菌,并对其致病性、血清型和毒力基因进行鉴定.本研究主要通过细菌分离鉴定试验对具有典型肺炎症状的死亡水貂的病原体进行分离,利用16S rRNA对进行细菌鉴定,并通过PCR方法对分离细菌的血清型和毒力基因进行检测,分析分离菌对动物的致病性.结果显示:28例水貂肺炎病例中分离出8株大肠杆...     

Genetic diversity of Mycoplasma hyopneumoniae isolates of abattoir pigs

Mycoplasma hyopneumoniae, the causative agent of porcine enzootic pneumonia, is present in swine herds worldwide. However, there is little information on strains infecting herds in Canada. A total of 160 swine lungs with lesions suggestive of enzootic pneumonia originating from 48 different farms were recovered from two slaughterhouses and submitted for gross pathology. The pneumonic lesion scores ranged from 2% to 84%.Eighty nine percent of the lungs (143/160) were positive for M. hyopneumoniae by real-time PCR whereas 10% (16/160) and 8.8% (14/160) were positive by PCR for M. hyorhinis and M. flocculare, respectively. By culture, only 6% of the samples were positive for M. hyopneumoniae (10/160). Among the selected M. hyopneumoniae-positive lungs (n = 25), 9 lungs were co-infected with M. hyorhinis, 9 lungs with PCV2, 2 lungs with PRRSV, 12 lungs with S. suis and 10 lungs with P. multocida. MLVA and PCR-RFLP clustering of M. hyopneumoniae revealed that analyzed strains were distributed among three and five clusters respectively, regardless of severity of lesions, indicating that no cluster is associated with virulence. However, strains missing a specific MLVA locus showed significantly less severe lesions and lower numbers of bacteria. MLVA and PCR-RFLP analyses also showed a high diversity among field isolates of M. hyopneumoniae with a greater homogeneity within the same herd. Almost half of the field isolates presented less than 55% homology with selected vaccine and reference strains.