一例人粒细胞无形体病的调查与处理  

Epidemiological survey and treatment of one case of human granulocytic anaplasmosis in Anhui province

作　　者：何益新[1,2] 赵武[1] 王勇[1] 

机构地区：[1]铜陵市疾病预防控制中心,安徽铜陵244000 [2]铜陵市医学科学研究所

出　　处：《疾病监测》2010年第9期752-753,共2页Disease Surveillance

摘　　要：2009年5月,安徽省铜陵市报告发现了1例疑似人粒细胞无形体病。患者发病前是否被蜱叮咬史不详;具有高热、肌肉酸痛、腹股沟淋巴结肿大和周身不适,白细胞和血小板计数进行性下降,尿常规和肝功能异常等典型临床特点,急性期血清嗜吞噬细胞无形体IgG抗体阳性,恢复期血清IgG抗体为呈4倍抗体增高。该病例被确诊为人粒细胞无形体病,通过采取现场流行病调查、隔离治疗、个人防护、消毒等措施,患者得到救治且未出现二代感染与传播病例,疫情得到有效控制。In May 2009, one suspected case of human granulocytic anaplasmosis （HGA） was reported in Tongling, Anhui province. It was not known whether the case had tick bite before the onset of the disease. The typical clinical manifestations included hyperthermy, muscular soreness, inguinales lymphadenectasis and general discomfort, progressive falling of white cell counts and blood platelets counts, disfunction of urine routine and liver function. The HGA-specific IgG antibody was positive in acute phase and 4 fold increase of IgG was observed in convalescence phase. The case was diagnosed as human granulocytic anaplasmosis and cured. By comprehensive measures of isolation and treatment, personal protection and disinfection, the epidemic was effectively controlled and no secondary case occurred.

关 键 词：人粒细胞无形体病 流行病学调查 实验室检测 

分 类 号：R510[医药卫生—内科学]