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Q Fever in Pregnant Goats Pathogenesis and Excretion of Coxiella burnetii 英文参考文献
QFeverinPregnantGoats:PathogenesisandExcretion
ofCoxiellaburnetii
Hendrik-JanRoest1*,BettyvanGelderen1,AnnemiekeDinkla1,DimitriosFrangoulidis2,Fredvan
Zijderveld1,JohannaRebel3,LucienvanKeulen3
1Department of Bacteriology and TSEs, Central Veterinary Institute, part of Wageningen University and Research Centre, Lelystad, The Netherlands, 2Bundeswehr
InstituteofMicrobiology,Munich,Germany,3DepartmentofInfectionBiology,CentralVeterinaryInstitute,partofWageningenUniversityandResearchCentre,Lelystad,
TheNetherlands
Abstract
CoxiellaburnetiiisanintracellularbacterialpathogenthatcausesQfever.Infectedpregnantgoatsareamajorsourceof
human infection. However, the tissue dissemination and excretion pathway of the pathogen in goats are still poorly
understood.TobetterunderstandQfeverpathogenesis,weinoculatedgroupsofpregnantgoatsviatheintranasalroute
witharecentDutchoutbreakC.burnetiiisolate.Tissuedisseminationandexcretionofthepathogenwerefollowedforupto
95daysafterparturition.Goatsweresuccessfullyinfectedviatheintranasalroute.PCRandimmunohistochemistryshowed
strongtropismofC.burnetiitowardstheplacentaattwotofourweeksafterinoculation.Bacterialreplicationseemedto
occurpredominantlyinthetrophoblastsoftheplacentaandnotinotherorgansofgoatsandkids.TheamountofC.burnetii
DNAintheorgansofgoatsandkidsincreasedtowardsparturition.Afterparturitionitdecreasedtoundetectablelevels:
after81dayspost-parturitioningoatsandafter28dayspost-parturitioninkids.Infectedgoatsgavebirthtoliveordead
kids.HighnumbersofC.burnetiiwereexcretedduringabortion,butalsoduringparturitionoflivebornkids.C.burnetiiwas
notdetectedinfaecesorvaginalmucusbeforeparturition.Ourresultsarethefirsttodemonstratethatpregnantgoatscan
beinfectedviatheintranasalroute.C.burnetiihasastrongtropismforthetrophoblastsoftheplacentaandisnotexcreted
beforeparturition; pathogenexcretionoccursduringbirthofdeadaswellashealthyanimals.Besidesabortions,normal
deliveriesinC.burnetii-infectedgoatsshouldbeconsideredasamajorzoonoticriskforQfeverinhum
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