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
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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
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
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