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馬モルビリウイルス肺炎

13,236 バイト追加2015年7月2日 (木) 02:04
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<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="td6">
<p class="p2"><span class="s1"><b>予防・治療</b></span></p>
</td>
<td valign="middle" class="td7">
<p class="p2"><span class="s1"><b>重要事項</b></span></p>
</td>
<td valign="middle" class="td8">
<p class="p2"><span class="s1"><b>その他メモ</b></span></p>
</td>
</tr>
<tr>
<td rowspan="3" valign="middle" class="td9">
<p class="p2"><span class="s1"><b>和名:</b></span></p>
<p class="p2"><span class="s1"><b>馬モルビリウイルス肺炎(届) (人獣)</b></span></p>
<p class="p2"><span class="s1"><b>(ヘンドラウイルス感染症orヘンドラウイルス肺炎)</b></span></p>
</td>
<td rowspan="3" valign="top" class="td10">
<p class="p3"><span class="s1">和名:</span></p>
<p class="p3"><span class="s1">モノネガウイルス目パラミクソウイルス科パラミクソウイルス亜科へニパウイルス</span></p>
<p class="p3"><span class="s1">へニパウイルス</span></p>
</td>
<td valign="top" class="td11">
<p class="p3"><span class="s1">感染様式:</span></p>
<p class="p3"><span class="s1">コウモリ(オオコウモリ)がレゼルボアと考えられている。</span></p>
<p class="p3"><span class="s1">接触感染</span></p>
<p class="p3"><span class="s1">経気道感染(?)</span></p>
</td>
<td valign="top" class="td12">
<p class="p3"><span class="s1">臨床:</span></p>
<p class="p3"><span class="s1">高熱、呼吸困難を主徴とし、高い致死率</span></p>
<p class="p3"><span class="s1">人ではインフルエンザ様症状を示し、死ぬ事もある。</span></p>
<p class="p3"><span class="s1">運動失調,顎・四肢・包皮の浮腫,軽い黄疸。末期には大量の泡沫を鼻から流出。</span></p>
</td>
<td rowspan="2" valign="top" class="td13">
<p class="p3"><span class="s1">診断:</span></p>
<p class="p3"><span class="s1">ウイルス分離(肺、脾、腎)からVero細胞</span></p>
<p class="p3"><span class="s1">中和抗体の検出</span></p>
<p class="p3"><span class="s1">ワクチンはなし</span></p>
</td>
<td rowspan="3" valign="top" class="td14">
<p class="p3"><span class="s1">予防:</span></p>
<p class="p3"><span class="s1">なし</span></p>
</td>
<td rowspan="4" valign="top" class="td15">
<p class="p3"><span class="s1">オオコウモリを介した高熱,呼吸困難を主徴とした高い致死率の疾病</span></p>
</td>
<td rowspan="4" valign="top" class="td16">
<p class="p3"><span class="s1">ヘンドラウイルス感染症もしくはヘンドラウイルス肺炎は現在名称の改正を考えられており、将来的には馬モルビリウイルス肺炎は教科書から改名されなくなるかもしれない→現在モルビリウイルス肺炎として扱われている。(馬モルビリウイルス肺炎)</span></p>
</td>
<td valign="middle" class="td17">
<p class="p3"><span class="s1">ヘニパウイルスはヘンドラ+ニパウイルスの頭文字</span></p>
</td>
<td valign="middle" class="td17">
<p class="p3"><span class="s1">RT-PCR。免疫染色。ウイルスは血球凝集能,ノイラミニダーゼ反応。</span></p>
</td>
<td valign="middle" class="td17">
<p class="p1"><br></p>
</td>
</tr>
<tr>
<td valign="top" class="td18">
<p class="p3"><span class="s1">世界:</span></p>
<p class="p3"><span class="s1">オーストラリア(1994年に発生)</span></p>
</td>
<td valign="top" class="td19">
<p class="p3"><span class="s1">急性:</span></p>
</td>
</tr>
<tr>
<td valign="top" class="td20">
<p class="p3"><span class="s1">日本:</span></p>
<p class="p3"><span class="s1">発生なし</span></p>
</td>
<td valign="top" class="td21">
<p class="p3"><span class="s1">慢性:</span></p>
</td>
<td valign="top" class="td22">
<p class="p3"><span class="s1">血清学的診断:</span></p>
<p class="p3"><span class="s1">中和テスト,間接蛍光抗体法が可能。</span></p>
</td>
</tr>
<tr>
<td valign="middle" class="td23">
<p class="p2"><span class="s1"><b>英名:</b></span></p>
<p class="p2"><span class="s1"><b>equine morbillivirus pneumonia</b></span></p>
<p class="p2"><span class="s1"><b>(Hendra virus infection)</b></span></p>
</td>
<td valign="top" class="td24">
<p class="p3"><span class="s1">英名:</span></p>
<p class="p3"><span class="s1">Paramyxoviridae, Paramyxovirinae, Henipavirus</span></p>
</td>
<td valign="top" class="td25">
<p class="p3"><span class="s1">宿主:</span></p>
<p class="p3"><span class="s1">馬,コウモリ、人</span></p>
</td>
<td valign="top" class="td26">
<p class="p3"><span class="s1">病理:</span></p>
<p class="p3"><span class="s1">血管病変に水腫が見られる。</span></p>
<p class="p3"><span class="s1">合胞体形成をする</span></p>
</td>
<td valign="top" class="td27">
<p class="p3"><span class="s1">類症鑑別:</span></p>
<p class="p3"><span class="s1">アフリカ馬疫,馬インフルエンザ,馬ウイルス性動脈炎</span></p>
</td>
<td valign="top" class="td28">
<p class="p3"><span class="s1">治療:</span></p>
<p class="p3"><span class="s1">なし</span></p>
</td>
</tr>
</tbody>
</table>
<p class="p1"><br></p>
</body>
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