鶏痘 - 変更履歴

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[[Category:伝染病学]]
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<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="td1">
<p class="p2"><span class="s1"><b>原因</b></span></p>
</td>
<td valign="middle" class="td2">
<p class="p2"><span class="s1"><b>伝播・疫学</b></span></p>
</td>
<td valign="middle" class="td3">
<p class="p2"><span class="s1"><b>症状（臨床・病理）</b></span></p>
</td>
<td valign="middle" class="td4">
<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="td1">
<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="td5">
<p class="p2"><span class="s1"><b>和名：</b></span></p>
<p class="p2"><span class="s1"><b>鶏痘</b></span></p>
</td>
<td rowspan="3" valign="top" class="td6">
<p class="p3"><span class="s1">和名：</span></p>
<p class="p3"><span class="s1">鶏痘ウイルス</span></p>
</td>
<td valign="top" class="td7">
<p class="p3"><span class="s1">感染様式：</span></p>
<p class="p3"><span class="s1">皮膚・粘膜(口腔)の創傷からの接触伝播</span></p>
<p class="p3"><span class="s1">蚊の接触伝播</span></p>
<p class="p3"><span class="s1">夏期に多い</span></p>
</td>
<td rowspan="3" valign="top" class="td8">
<p class="p3"><span class="s1">臨床：</span></p>
<p class="p3"><span class="s1">丘疹→水疱→融合→痂皮→脱落→治癒</span></p>
<p class="p3"><span class="s1">皮膚型：頭部皮膚に発疹、痂皮形成→致命率低い</span></p>
<p class="p3"><span class="s1">粘膜型：口腔粘膜に多発→呼吸器症状→二次感染で高致死率</span></p>
</td>
<td rowspan="2" valign="top" class="td9">
<p class="p3"><span class="s1">診断：</span></p>
<p class="p3"><span class="s1">病変部からウイルス分離（鶏胚細胞or発育鶏卵でCPEと細胞質内封入体or大型白色ポック）</span></p>
<p class="p3"><span class="s1">抗体検出はゲル内沈降反応</span></p>
</td>
<td rowspan="3" valign="top" class="td10">
<p class="p3"><span class="s1">予防：</span></p>
<p class="p3"><span class="s1">生ワクチン：翼膜に穿刺</span></p>
<p class="p3"><span class="s1">→発痘を確認(善感反応)</span></p>
</td>
<td rowspan="4" valign="top" class="td11">
<p class="p3"><span class="s1">1.皮膚型と粘膜型の病型があり，それぞれ皮膚，粘膜に特徴的な発痘</span></p>
<p class="p3"><span class="s1">2.発痘部組織の細胞質内封入体(ボーリンゲル小体)</span></p>
</td>
<td rowspan="4" valign="top" class="td12">
<p class="p4"><br></p>
</td>
</tr>
<tr>
<td valign="top" class="td13">
<p class="p3"><span class="s1">世界：</span></p>
<p class="p3"><span class="s1">世界各地に広く分布</span></p>
</td>
</tr>
<tr>
<td valign="top" class="td13">
<p class="p3"><span class="s1">日本：</span></p>
<p class="p3"><span class="s1">あり</span></p>
</td>
<td valign="top" class="td14">
<p class="p3"><span class="s1">血清学的診断：</span></p>
</td>
</tr>
<tr>
<td valign="middle" class="td15">
<p class="p2"><span class="s1"><b>英名：</b></span></p>
<p class="p2"><span class="s1"><b>Avian pox(fowl pox)</b></span></p>
</td>
<td valign="top" class="td16">
<p class="p3"><span class="s1">英名：</span></p>
<p class="p3"><span class="s1">Poxviridae</span></p>
<p class="p3"><span class="s1">Chordopoxvirinae</span></p>
<p class="p3"><span class="s1">Avipoxvirus</span></p>
</td>
<td valign="top" class="td17">
<p class="p3"><span class="s1">宿主：</span></p>
</td>
<td valign="top" class="td18">
<p class="p3"><span class="s1">病理：</span></p>
<p class="p3"><span class="s1">細胞の膨化バルーン変性</span></p>
<p class="p3"><span class="s1">細胞質内封入体ボリンゲル小体</span></p>
</td>
<td valign="top" class="td19">
<p class="p3"><span class="s1">類症鑑別：</span></p>
</td>
<td valign="top" class="td20">
<p class="p3"><span class="s1">治療：</span></p>
</td>
</tr>
</tbody>
</table>
<p class="p4"><br></p>
</body>
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