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鼠类肝炎E病毒 (Rocahepevirus ratti) 在感染艾滋病毒的人群中
María Casares-Jimenez1, Antonio Rivero-Juarez1,2, Pedro Lopez-Lopez1,2
1Infectious Diseases Unit, Reina Sofia University Hospital, Maimonides Instituto for Biomedical Research (IMIBIC), University of Cordoba (UCO), Cordoba, Spain.
Emerging microbes & infections
|December 14, 2023
概括
鼠类肝炎E病毒 (ratHEV) 正在西班牙出现,艾滋病毒感染者 (PLWH) 的抗体患病率为1.1%. 一个PLWH有可检测的老鼠HEVRNA,这表明在这个群体中存在潜在的动物感染威胁.
科学领域:
- 病毒学 病毒学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 小鼠肝炎E病毒 (ratHEV) 是一种新兴的动物性病原体,可引起急性肝炎.
- 艾滋病毒感染者 (PLWH) 可能会面临HEV感染的更糟糕后果,这表明他们是ratHEV.HEV的高风险群体.
研究的目的:
- 确定大规模的西班牙PLWH队列中的鼠HEV感染和暴露的流行率.
- 评估这种脆弱群体中鼠HEV的潜在动物传染风险.
主要方法:
- 在西班牙进行的一项多中心研究,涉及西班牙艾滋病研究网络 (CoRIS) 的842名PLWH.
- 通过PCR检测鼠HEVRNA和使用点点分析检测抗鼠HEVIgG抗体.
- 对可检测到鼠HEV RNA的患者进行病毒性持续性和IgG血清转换的随访.
主要成果:
- 在9个人中发现了1.1% (95%CI:0.5%-2.1%) 的抗ratHEVIgG抗体的患病率.
- 一个个体 (0.1%的患病率;95%的CI:0.08%-0.7%) 对大鼠HEVRNA呈阳性,轻度ALT升高.
- 这个人在随访时表现出无法检测的老鼠HEV RNA和IgG血清转换.
结论:
- 鼠类肝炎E病毒在西班牙的地理分布.
- RatHEV 构成了潜在的动物传染性威胁,特别是在感染艾滋病毒的人群中.
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