悪性カタル熱 - 変更履歴

2015年3月20日 (金) 06:03にGeshtaltによる

2015-03-20T06:03:12Z

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[[Category:届出伝染病]]
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</head>
<body>
<p class="p1"><br></p>
<table cellspacing="0" cellpadding="0" class="t1">
<tbody>
<tr>
<td valign="middle" class="td1">
<p class="p2"><span class="s1"><b>病名</b></span></p>
</td>
<td valign="middle" class="td2">
<p class="p2"><span class="s1"><b>原因</b></span></p>
</td>
<td valign="middle" class="td3">
<p class="p2"><span class="s1"><b>伝播・疫学</b></span></p>
</td>
<td valign="middle" class="td4">
<p class="p2"><span class="s1"><b>症状（臨床・病理）</b></span></p>
</td>
<td valign="middle" class="td5">
<p class="p2"><span class="s1"><b>診断・類症鑑別</b></span></p>
</td>
<td valign="middle" class="td1">
<p class="p2"><span class="s1"><b>予防・治療</b></span></p>
</td>
<td valign="middle" class="td2">
<p class="p2"><span class="s1"><b>重要事項</b></span></p>
</td>
<td valign="middle" class="td1">
<p class="p2"><span class="s1"><b>その他メモ</b></span></p>
</td>
</tr>
<tr>
<td rowspan="3" valign="middle" class="td6">
<p class="p2"><span class="s1"><b>和名：</b></span></p>
<p class="p2"><span class="s1"><b>悪性カタル熱</b></span></p>
</td>
<td rowspan="4" valign="top" class="td7">
<p class="p3"><span class="s1">和名：</span></p>
<p class="p3"><span class="s1">英名：</span></p>
<p class="p3"><span class="s1"><b>アフリカ型</b>（ウシカモシカ由来(WD(→今はWAになってるらしい)型）</span></p>
<p class="p3"><span class="s1">：ウシカモシカヘルペスウイルス１型</span></p>
<p class="p3"><span class="s1">(Herpesviridae,<span class="Appleconvertedspace"> </span></span></p>
<p class="p3"><span class="s1">Gammaherpesvirinae,<span class="Appleconvertedspace"> </span></span></p>
<p class="p3"><span class="s1">Rhadinovirus)</span></p>
<p class="p4"><span class="s1"></span><br></p>
<p class="p4"><span class="s1"></span><br></p>
<p class="p4"><span class="s1"></span><br></p>
<p class="p3"><span class="s1"><b>アメリカ型</b>（羊随伴(SA)型）</span></p>
<p class="p3"><span class="s1">：羊ヘルペスウイルス２型</span></p>
<p class="p3"><span class="s1">(Herpesviridae,</span></p>
<p class="p3"><span class="s1"><span class="Appleconvertedspace"> </span>Gammaherpesvirinae,<span class="Appleconvertedspace"> </span></span></p>
<p class="p3"><span class="s1">Rhadinovirus)</span></p>
<p class="p3"><span class="s1">：ウイルスが分離されていない</span></p>
</td>
<td valign="top" class="td8">
<p class="p3"><span class="s1">感染様式：</span></p>
<p class="p3"><span class="s1">レゼルボア：WA型はウシカモシカ，SA型は羊。</span></p>
<p class="p3"><span class="s1">接触伝播が主体でレゼルボアの出産が関与。</span></p>
</td>
<td rowspan="3" valign="top" class="td9">
<p class="p3"><span class="s1">臨床：</span></p>
<p class="p3"><span class="s1">発熱(40～42℃)，</span></p>
<p class="p3"><span class="s1">・元気消失，</span></p>
<p class="p3"><span class="s1">・食欲廃絶，</span></p>
<p class="p3"><span class="s1">・流涎，</span></p>
<p class="p3"><span class="s1">・粘液性あるいは粘液性慢性鼻漏，</span></p>
<p class="p3"><span class="s1">・呼吸困難，</span></p>
<p class="p3"><span class="s1">・眼，鼻，咽頭および気管粘膜のびらん形成。</span></p>
<p class="p3"><span class="s1">・角膜の混濁，</span></p>
<p class="p3"><span class="s1">・悪臭の下痢，</span></p>
<p class="p3"><span class="s1">・神経症状。</span></p>
</td>
<td rowspan="2" valign="top" class="td10">
<p class="p3"><span class="s1">診断：</span></p>
<p class="p3"><span class="s1">WA型：病変部やリンパ系組織を材料に牛甲状腺細胞の感受性細胞を用いてウイルス分離。PCRによる遺伝子診断。</span></p>
<p class="p3"><span class="s1">SA型：PCRによる遺伝子診断。</span></p>
</td>
<td rowspan="3" valign="top" class="td11">
<p class="p3"><span class="s1">予防：</span></p>
<p class="p3"><span class="s1">ワクチンはない。レゼルボアとの接触を避ける。</span></p>
</td>
<td rowspan="4" valign="top" class="td12">
<p class="p3"><span class="s1">１．全身の粘膜の充血・出血・びらん・潰瘍</span></p>
<p class="p3"><span class="s1">２．体表リンパ節の腫大，角膜の混濁</span></p>
<p class="p3"><span class="s1">３．レゼルボアの出産時に牛が接触感染</span></p>
</td>
<td rowspan="4" valign="top" class="td13">
<p class="p3"><span class="s1">潜伏期：WA型：平均12日</span></p>
<p class="p3"><span class="s1">SA型：１カ月～数カ月</span></p>
</td>
</tr>
<tr>
<td valign="top" class="td14">
<p class="p3"><span class="s1">世界：</span></p>
<p class="p3"><span class="s1">WA型：アフリカ</span></p>
<p class="p3"><span class="s1">SA型：世界各地</span></p>
</td>
</tr>
<tr>
<td valign="top" class="td14">
<p class="p3"><span class="s1">日本：</span></p>
<p class="p3"><span class="s1">あり（アメリカ型）</span></p>
</td>
<td valign="top" class="td15">
<p class="p3"><span class="s1">血清学的診断：</span></p>
<p class="p3"><span class="s1">ウシカモシカヘルペスウイルス１型を抗原とする間接蛍光抗体法，CF反応，ELISA</span></p>
</td>
</tr>
<tr>
<td valign="middle" class="td16">
<p class="p2"><span class="s1"><b>英名：</b></span></p>
<p class="p2"><span class="s1"><b>malignant catarrhal fever</b></span></p>
</td>
<td valign="top" class="td17">
<p class="p3"><span class="s1">宿主：</span></p>
<p class="p3"><span class="s1">牛，水牛，しか，めん羊</span></p>
</td>
<td valign="top" class="td18">
<p class="p3"><span class="s1">病理：</span></p>
<p class="p3"><span class="s1">全身粘膜の充出血・びらん・潰瘍。</span></p>
<p class="p3"><span class="s1">・組織的には変性・壊死。</span></p>
<p class="p3"><span class="s1">・全身の血管炎および血管周囲炎非化膿性間質性腎炎，リンパ節の腫大，</span></p>
<p class="p3"><span class="s1">・非化膿性脳炎。</span></p>
</td>
<td valign="top" class="td19">
<p class="p3"><span class="s1">類症鑑別：</span></p>
<p class="p3"><span class="s1">牛ウイルス性下痢・粘膜病，牛伝染性鼻気管炎，ブルータング，牛疫</span></p>
</td>
<td valign="top" class="td20">
<p class="p3"><span class="s1">治療：</span></p>
</td>
</tr>
</tbody>
</table>
<p class="p1"><br></p>
</body>
</html>

== 線維素性、潰瘍性壊死性口(内)炎 ==
#牛疫
#牛伝染性鼻気管炎
#悪性カタル熱
#牛ウイルス性下痢・粘膜病
#ブルータング
#イバラキ病
#壊死性桿菌症
#ノーマ
#鵞口瘡（がこうそう）
#尿毒症性口内炎

== 繊維素性腸炎（腸絨毛全体＋血管が病変） ==
牛ウイルス性下痢・粘膜病
牛アデノウイルス腸炎
牛疫
豚コレラ
悪性カタル熱
サルモネラ腸炎

== 悪臭シリーズ ==
豚赤痢→悪臭のある粘血下痢便
豚のサルモネラ症、牛のサルモネラ症→水様性黄白～緑黄色の悪臭下痢
牛疫→%%%末期には%%%粘液，血液，偽膜を混じ悪臭を放つ
X大腸炎（馬）→悪臭を伴う激しい出血性水様性下痢
悪性カタル熱→悪臭の下痢