【摘 要】
：
目的 从病原学角度证实贵州省凯里市一起犬伤人致儿童死亡病例为狂犬病所致,了解狂犬病病毒的基因特征.方法 采用dFA实验初步检测犬和患儿脑组织狂犬病病毒抗原,以RT-nested
【机 构】
：
贵州省疾病预防控制中心传染病防治研究所,中国疾病预防控制中心病毒所
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目的 从病原学角度证实贵州省凯里市一起犬伤人致儿童死亡病例为狂犬病所致,了解狂犬病病毒的基因特征.方法 采用dFA实验初步检测犬和患儿脑组织狂犬病病毒抗原,以RT-nested PCR检测狂犬病病毒核酸,测定狂犬病病毒N基因全长序列,根据同源性比较及系统进化树进行分子流行病学分析.结果 dFA与RT-nested PCR检测显示犬脑和人脑组织标本均为狂犬病病毒抗原和核酸阳性.经测序拼接均得到长度为1353 bp的核苷酸序列,同源性分析显示犬脑组织(GZD)和人脑组织(GZH)检出的狂犬病病毒N基因核苷酸与推导的氨基酸同源性均为100％,与我国各省已报道的狂犬病病毒基因1型流行毒株及疫苗株核苷酸和氨基酸序列同源性分别为88.4％～99.6％和98.2％～100％,与我省往年报道的毒株N基因核苷酸和推到的氨基酸同源性最高.此外,在与疫苗株的比较中,与CNT株的核苷酸和氨基酸同源性最高.进化树分析显示犬脑和人脑组织标本狂犬病病毒N基因亲缘进化关很近,同属于基因1型狂犬病病毒.结论 从病原学和病毒分子生物学证实了贵州省一起犬伤人致儿童死亡病例为狂犬病所致,其病原为狂犬病病毒基因1型,与疫苗毒株中的CNT毒株的亲缘进化关系最近,该起病例可能为我省境内传播,因此,应加强我省狂犬病疫区的防制工作.
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