莱州市1例人粒细胞无形体病病例调查

Investigation on a Human Granulocytic Anaplasmosis Disease in Laizhou City

[目的]摸清人粒细胞无形体病的发病特点和流行特征。[方法]2010年9月,对莱州市1例血清人粒细胞无形体核酸阳性病例及其居住环境、该村家畜养殖及蜱虫孳生情况进行调查。[结果]患者于2010年8月11日发病,8月13日住院治疗,按照人粒细胞无形体疑似病例采集相关标本送检,给予多西环素等经验性治疗,病情好转出院。9月8日山东省疾病预防控制中心报告患者血清人粒细胞无形体病核酸阳性。调查时在患者所住村庄的狗、羊、牛身上及草丛中均有蜱虫发现。患者发病前无蜱叮咬史。[结论]这是一例人粒细胞无形体确诊病例。

[Objective]To find out the incidence characteristics and epidemiological characteristics of human granulocytic anaplasmosis.[Methods]In September 2010,a case of human granulocytic anaplasmosis with serum nucleic acid positive was investigated on the living circumstance,animals and tick.[Results]The patient was ill on August 11,2010,hospitalized on August 13.Relevant specimens by human granulocytic anaplasmosis suspected cases were collected and sent to detect.The patient was given doxycycline and other empirical treatment,her condition improved and was discharged.On September 8,center for disease control and prevention of Shandong province reported that the case＇s serum nucleic acid was positive.Ticks were found in the dogs,sheep,cattle and grass of the village.The patient had no history of tick bite before the onset.[Conclusion]This is a confirmed case of human granulocytic anaplasmosis.