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神戸= 市感染症情報

<特集>  リケ= ッチア症(つつが虫= 0149;)

神戸= 市における感染症の= 1205;向 = 5288;平成17<= span lang=3DEN-US style=3D'font-size:10.5pt;mso-bidi-font-size:12.0pt;font-fam= ily: Arial;mso-fareast-font-family:"MS PGothic";mso-bidi-font-family:"Times Ne= w Roman"'>27~30週)=

88 No. 82

平成178月発行

神戸市感染症情報&#= 23550;策委員会

事務&= #23616; 神戸市保健所予&= 450;衛生課

<= span lang=3DEN-US style=3D'font-size:10.5pt;mso-bidi-font-size:12.0pt;font-fam= ily: Arial;mso-fareast-font-family:"MS PGothic";mso-bidi-font-family:"Times Ne= w Roman"'>651-8570 = 1070;戸市中央区雲井通5-1-1

Tel<= span lang=3DEN-US style=3D'font-size:10.5pt;mso-bidi-font-size:12.0pt;font-fam= ily: Arial;mso-fareast-font-family:"MS PGothic";mso-bidi-font-family:"Times Ne= w Roman"'>078<= span lang=3DEN-US style=3D'font-size:10.5pt;mso-bidi-font-size:12.0pt;font-fam= ily: Arial;mso-fareast-font-family:"MS PGothic";mso-bidi-font-family:"Times Ne= w Roman"'>232<= span lang=3DEN-US style=3D'font-size:10.5pt;mso-bidi-font-size:12.0pt;font-fam= ily: Arial;mso-fareast-font-family:"MS PGothic";mso-bidi-font-family:"Times Ne= w Roman"'>7586 Fax= 5306;078<= span lang=3DEN-US style=3D'font-size:10.5pt;mso-bidi-font-size:12.0pt;font-fam= ily: Arial;mso-fareast-font-family:"MS PGothic";mso-bidi-font-family:"Times Ne= w Roman"'>261<= span lang=3DEN-US style=3D'font-size:10.5pt;mso-bidi-font-size:12.0pt;font-fam= ily: Arial;mso-fareast-font-family:"MS PGothic";mso-bidi-font-family:"Times Ne= w Roman"'>1410

<特集> リケ&#= 12483;チア症(つつが虫ĭ= 49;)


 

童謡&#= 12300;ふるさと」で,「う= 2373;ぎ追いしかの山,ӕ= 1;ぶなつりしかの川, ・・・ いかにいます&#= 29238;母,つつがなきやÖ= 51;がき」と歌われるほ= ど,つつが虫病= (恙虫病)は,かつ= 2390;東北・北陸地方をߑ= 3;心に,多発していた&= #12418;のと推察される。

つつ&#= 12364;虫病は,偏性細胞Ð= 69;寄生性細菌であるリ= ケッチアの一種,Orientia tsutsugamushiを持つツツ= ガムシ(ダニの一種= 5289;が刺すことによっӗ= 0;起こる。高熱,頭痛&= #65292;関節痛,発疹,リ = 531;パ節腫脹などの症状= ;をきたす感染症で,&#= 27835;療が遅れると死にŌ= 67;ることも多い。刺し= 口を見つけることが= 5292;診断の決め手となӚ= 7;。テトラサイクリン&= #31995;の抗生物質が有効 = 391;ある。

現在&#= 65292;リケッチアは上図{= 98;ように分類されてい= る。つつが虫病の病= 1407;体は,従来Rickettsia= 属に分類さ= れていたが,細胞壁= 2395;ペプチドグリカンӔ= 4;無いなどの特性から&= #65292;Orientia属に移され= た。

アカ&#= 12484;ツガムシによってç= 86;介されるるものを古= 典的つつが虫病,フ= 2488;ゲツツガムシおよӘ= 3;タテツツガムシによ&= #12387;て媒介されるるも = 398;を新型つつが虫病と= ;呼び,菌の血清型も&#= 30064;なる。前者は夏場{= 95;,後者は秋から初冬= に発生し易い。国内= 2391;,毎年500例程度の発= 症が報告されている= 2290;

環境&#= 20445;健研究所企画情報Ų= 96; 飯島 義雄

<情&#= 22577;> 神戸市にお= ける感染症の動向=

20057月・第2730

ウイ&#= 12523;ス感染症

同性&#= 38291;性的接触によるHʍ= 21;V感染(30代男性)が= ,1例報告され= ている。アデノウイ= 2523;スによる咽頭結膜୞= 5;が毎週10例程度報告= されている。

細菌感染症=

O157VT23例,O157VT1/VT23例,O26VT1/VT22例と&#= 65292;腸管出血性大腸菌ø= 63;染症が多く報告され= ている。レジオネラ= 0151;,マイコプラズマ೟= 4;炎,肺炎球菌による&= #39620;膜炎,赤痢(ソン = 493;菌,パキスタン帰り= ;)が各1例報告され= ている。カンピロバ= 2463;ター胃腸炎は,相ࣧ= 3;わらず多い。サルモ&= #12493;ラによる胃腸炎も= 968;例報告されている。= ;

原虫感染症=

アメ&#= 12540;バ赤痢の報告が1例あった。=

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感染症情&#= 22577; 88

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