possible transmission of mycobacterium avium subspecies paratuberculosis through potable water lessons from an urban cluster of crohns disease可能的鸟型分支杆菌亚种副结核的传播通过饮用水教训一个城市集群的克罗恩病.pdfVIP

Gut Pathogens BioMed Central Short report Open Access Possible transmission of Mycobacterium avium subspecies paratuberculosis through potable water: lessons from an urban cluster of Crohns disease Ellen S Pierce Address: Spokane Valley, Washington, USA Email: Ellen S Pierce - ellenpiercemd@ Published: 23 September 2009 Received: 1 September 2009 Accepted: 23 September 2009 Gut Pathogens 2009, 1:17 doi:10.1186/1757-4749-1-17 This article is available from: /content/1/1/17 © 2009 Pierce; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract A cluster of patients refers to the geographic proximity of unrelated patients with the same disease and suggests a common environmental cause for that disease. Clusters of patients with Crohns disease have been linked to the presence of an infectious microorganism in unpasteurized milk and cheese, untreated water supplied by wells or springs, animal manure used as fertilizer for family vegetable gardens, and bodies of water contaminated by agricultural runoff. Mycobacterium avium subspecies paratuberculosis (MAP) is the suspected cause of Crohns disease. MAP causes a disease in dairy cows and other animals that is similar to Crohns disease, called Johnes (Yo-knees) disease or paratu