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出血热肾综合征PPT
Hemorrhagic Fever with Renal Syndrome;■ Definition
▲ Infectious diseases with natural source
▲ Pathogen: Hantan virus
▲ Characterized by fever, hemorrhage,
proteinuria, shock and acute renal
failure. Five phases in the typical cases ;
Epidemic Hemorrhagic Fever ( EHF)
Suggested name by WHO in 1982:
Hemorrhagic Fever with Renal Syndrome (HFRS);Hantan virus
▲ Member of the family of Bunyaviridae
▲ Feature of virus
Single-strand negative RNA virus
Circular or oval in shape
78~210 nm in diameter
Envelope proteins:glycoprotein1(G1)
glycoprotein2(G2)
Viral genome—RNA: L M S gene ; Viral proteins
L--- Polymerase
M---Envelope protein G1 and G2
the membrane antigen
G2: contain neutrolization antigen
(vaccine antigen)
S---Nucleocapsid protein:
strong antigenicity and immunogenicity,
and containing complement binding antigen. ; ▲ Resistance of virus
Low resistance:
Inactivated by acid (pH 5.0), ethanol, ether,
chloroform.
heat in 56oC for 30min or 100oC for 1min.
Be sensitive to alcohol
ultraviolet rays;■ Epidemiology
1.Sources of infection
?
In our country:
Apodemus agrarius (黑线姬鼠)
Mus norvegicus (褐家鼠)
Apodemus sylvaticus (大林姬鼠)
Citellus undulatus (长尾黄鼠)
? Laboratory Rats
? Other animals: cats dogs rabbits
Patients:unimportant;Apodemus agrarius
黑线姬鼠;2. Modes of transmission: Five
1.Air-borne transmission
via inhale aerosol contaminated with virus-
containing excretion or secretion of rats
2.Food-borne transmission
via oral and esophageal mucosa
(eat food contaminated with virus-containing excretion or secretion of rats); 3. Infection via contact
Be bitten by rats.
wound is contaminated with virus-containing excretions or secretions of rats
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