出典(authority):フリー百科事典『ウィキペディア(Wikipedia)』「2015/05/06 14:58:20」(JST)
Chlamydophila psittaci | |
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Direct fluorescent antibody stain of a mouse brain impression smear showing C. psittaci. | |
Scientific classification | |
Kingdom: | Bacteria |
Phylum: | Chlamydiae |
Order: | Chlamydiales |
Family: | Chlamydiaceae |
Genus: | Chlamydophila |
Species: | C. psittaci |
Binomial name | |
Chlamydophila psittaci[1] |
Chlamydophila psittaci is a lethal intracellular bacterial species that may cause endemic avian chlamydiosis, epizootic outbreaks in mammals, and respiratory psittacosis in humans. Potential hosts include feral birds and domesticated poultry as well as cattle, pigs, sheep and horses. Chlamydophila psittaci is transmitted by inhalation, contact or ingestion among birds and to mammals. Psittacosis in birds and in humans often starts with flu-like symptoms and becomes a life-threatening pneumonia. Many strains remain quiescent in birds until activated under stress. Birds are excellent, highly mobile vectors for the distribution of chlamydia infection, because they feed on, and have access to, the detritus of infected animals of all sorts.
Chlamydophila psittaci has been reclassified as Chlamydia psittaci. The former "mammalian" Chlamydia psittaci abortion, feline and Guinea pig strains have been moved to three new species. (See Chlamydophila abortus, Chlamydophila felis and Chlamydophila caviae.)
C. psittaci in birds is often systemic and infections can be inapparent, severe, acute or chronic with intermittent shedding.[2][3][4][5] C. psittaci strains in birds infect mucosal epithelial cells and macrophages of the respiratory tract. Septicaemia eventually develops and the bacteria become localized in epithelial cells and macrophages of most organs, conjunctiva, and gastrointestinal tract. It can also be passed in the eggs. Stress will commonly trigger onset of severe symptoms, resulting in rapid deterioration and death. C. psittaci strains are similar in virulence, grow readily in cell culture, have 16S rRNA genes that differ by <0.8%, and belong to eight known serotypes. All should be considered to be readily transmissible to humans.
C. psittaci serovar A is endemic among psittacine birds and has caused sporadic zoonotic disease in humans, other mammals and tortoises. Serovar B is endemic among pigeons, has been isolated from turkeys, and has also been identified as the cause of abortion in herds of dairy cattle. Serovars C and D are occupational hazards for slaughterhouse workers and for people in contact with birds. Serovar E isolates (known as Cal-10, MP or MN) have been obtained from a variety of avian hosts worldwide and, although they were associated with the 1920s–1930s outbreak in humans, a specific reservoir for serovar E has not been identified. The M56 and WC serovars were isolated during outbreaks in mammals. Many C. psittaci strains are susceptible to bacteriophages.
Chlamydophila psittaci is a small bacterium (0.5 micrometres) that undergoes several transformations during its life cycle. It exists as an elementary body (EB) in between hosts. The EB is not biologically active, but is resistant to environmental stresses and can survive outside a host. The EB travels from an infected bird to the lungs of an uninfected bird or person in small droplets, and is responsible for infection. Once in the lungs, the EB is taken up by cells in a pouch called an endosome by a process called phagocytosis. However, the EB is not destroyed by fusion with lysosomes, as is typical for phagocytosed material. Instead, it transforms into a reticulate body and begins to replicate within the endosome. The reticulate bodies must use some of the host's cellular machinery to complete its replication. The reticulate bodies then convert back to elementary bodies, and are released back into the lung, often after causing the death of the host cell. The EBs are thereafter able to infect new cells, either in the same organism or in a new host. Thus, the life cycle of C. psittaci is divided between the elementary body which is able to infect new hosts, but can not replicate, and the reticulate body, which replicates, but is not able to cause new infection.
The disease caused by C. psittaci, psittacosis, was first characterized in 1879 when seven individuals in Switzerland were found to experience pneumonia after exposure to tropical pet birds. The related bacterial species Chlamydia trachomatis was described in 1907, but was assumed to be a virus, as it could not be grown on artificial media. In the winter of 1929–1930, psittacosis pandemic spread across the United States and Europe. Its mortality rate was 20% and as high as 80% for pregnant women. The disease's spread was eventually attributed to exposure to Amazon parrots imported from Argentina. Though C. psittaci was identified in 1930 as the agent responsible for psittacosis, it was not found to be a bacterium until examination by electron microscopy in the 1960s.[6]
In addition to symptoms and CHX, complement fixation, microimmunofluorescence and PCR tests can be used to confirm the diagnosis.
Tetracycline or macrolides can be used to treat this condition. The drugs are given intravenously or orally, depending on drug choice. Treatment should continue for 10–14 days after the fever subsides. In children or pregnant women, though, tetracycline should not be used. Ibuprofen or acetominophen, and fluids are also administered. Cigarette or tobacco smoke should be avoided. While taking tetracycline, dairy products should be avoided.
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国試過去問 | 「097H017」 |
リンク元 | 「特殊な細菌」「Chlamydophila psittaci」「クラミジア属」「オウム病クラミジア」「クラミジア・シタッシ」 |
関連記事 | 「psittaci」 |
C
※国試ナビ4※ [097H016]←[国試_097]→[097H018]
科 | 寄生性 | 大きさ | グラム染色性 | 細胞壁 | LPS | ペプチド グリカン |
封入体 | 免疫原性 | 感染経路 | 無効抗菌薬 |
マイコプラズマ科 | 直径0.3μm | なし | なし | なし | なし | 飛沫感染 | βラクタム薬 | |||
リケッチア科 | 偏性細胞寄生性 | (0.3-0.5)x(0.8-2.0)μm | 陰性 | あり | あり | あり | なし | 媒介動物 | βラクタム薬 | |
クラミジア科 | 偏性細胞寄生性 | 陰性 | あり | あり | なし | あり | なし | 飛沫感染/接触感染/性行為 | βラクタム薬、アミノ配糖体系 |
科 | 属 | 病原体名 | 疾患名 | 潜伏期 | 感染経路 | 診断 | 症状 | 治療 | |
マイコプラズマ科 | マイコプラズマ属 | Mycoplasma pneumoniae | 肺炎マイコプラズマ | マイコプラズマ肺炎 | 飛沫感染 | マクロライド系・テトラサイクリン系 | |||
リケッチア科 | オリエンチア属 | Orientia tsutsugamushi | ツツガムシ病 | 4-18日 | ツツガムシ | Weil-Felix反応/蛍光抗体法/免疫ペルオキシダーゼ法/ペア血清 | テトラサイクリン系 ニューロキノロン系 | ||
リケッチア科 | リケッチア属 | Rickettsia japonica | 日本紅斑熱 | 2-8日 | マダニ | Weil-Felix反応 | |||
リケッチア科 | エールリキア属 | Ehrlichia sennetsu | 腺熱 | 10-17日 | 不明 | ||||
リケッチア科 | コクシエラ属 | Coxiella burnetii | Q熱 | 14-26日 | 経気道的、経口的、経皮的。人獣共通感染症 | テトラサイクリン系・ニューキノロン系・リファンピシン併用 | |||
リケッチア科 | バルトネラ属 | Bartonella henselae | Bartonella henselae感染症 (ネコひっかき病/細菌性血管腫症) |
マクロライド系・テトラサイクリン系 | |||||
クラミジア科 | クラミジア属 | Chlamydia psittaci | オウム病クラミジア | 7-10日 | テトラサイクリン系、マクロライド系。 βラクタム、アミノ配糖体無効。 基本小体に作用しない | ||||
クラミジア科 | クラミジア属 | Chlamydia trachomatis | トラコーマクラミジア | 1-5週 | 性行為 | ||||
クラミジア科 | クラミドフィラ属 | Chlamydophila pneumoniae | 肺炎クラミジア | 3-4週 |
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