病理学和病毒在严重或致命的mpox免疫功能低下患者的组织中的定位
Jana M Ritter1, Roosecelis B Martines1, Julu Bhatnagar1
1Infectious Diseases Pathology Branch.
The Journal of infectious diseases
|January 20, 2024
概括
严重的麻疹 (麻疹病毒) 在免疫功能低下的患者中涉及广泛的组织感染和传播. 消化道和肺部的感染很常见,并发感染会使诊断和治疗复杂化.
科学领域:
- 病毒学 病毒学
- 病理学 病理学 病理学
- 免疫受损宿主研究
背景情况:
- 对于严重/致命的人类麻疹病毒 (MPXV) 病理学和组织热带性有限的了解.
- 需要阐明免疫受损个体的疾病病原和共感染作用.
研究的目的:
- 在严重/致命的mopox病例的组织中描述病理和MPXV分布.
- 在受影响患者中调查共感染.
主要方法:
- 来自22名患者的活检和尸检组织的分析.
- 免疫组织化学和病毒抗原/DNA的现场杂交.
- 基于组织的共感染测试.
主要成果:
- 在粘膜皮肤病变中发生死性上皮细胞变化.
- 在一半的尸体解剖病例中,消化道病变和系统性亡与血栓性血管病变.
- 支气管肺炎和急性肺损伤常见;MPXV在所有组织中检测到;共感染在31-67%的病例中存在.
结论:
- 严重的mopox涉及广泛的组织感染和病毒性传播,尽管治疗可能会进展.
- 消化道和肺部的感染很常见,具有显著的组织病理学发现.
- 同感染使mopox管理复杂化;组织中的高病毒DNA保证了增强的生物安全性.
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