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紧急提醒！确诊一例罕见传染病“Q热” 人畜共患_我的网站

杀害班花逃15年

一 | 近日一则江苏确诊一例罕见传染病的消息登上社交媒体热搜引发关注据报道，2024年11月，江苏常州的顾先生因持续高热、咳嗽、全身酸痛，前往江阴市人民医院发热门诊求诊。 Brussels, Oct 13 (UNI) Ukraine's Nato-led allies have announced deliveries of advanced air defence weapons to Kyiv after a spate of Russian missile strikes.

The weaponry promised by the UK, Canada, France and the Netherlands includes missiles and radars. The US earlier made a similar pledge. One high-tech system from Germany is already in Ukraine, BBC reported.

The pledges come as Ukraine's allies from 50 countries meet at the Nato headquarters in Brussels. Kyiv hailed the summit as "historic", BBC said.

Hours later, Russian shelling hit the southern city of Mykolaiv on Thursday morning.

Monday and Tuesday saw some of the heaviest Russian bombardment in months when more than 100 missiles were launched, hitting energy infrastructure and other non-military targets. At least 19 people were killed on the first day of the strikes, which included hitting central Kyiv.

Russian President Vladimir Putin says the missile strikes were retaliation for an attack on a key bridge linking Russia and Crimea -- Ukraine's southern peninsula annexed by Moscow in 2014.

The UK will donate air defence missiles, as well as hundreds of aerial drones to support Ukraine's information gathering and logistics capabilities. It will also provide 18 howitzer artillery guns in addition to the 64 already delivered.

"Russia's latest indiscriminate strikes on civilian areas in Ukraine warrant further support to those seeking to defend their nation," said British Defence Secretary Ben Wallace.

French President Emmanuel Macron said Paris would supply air defence systems to Ukraine, the BBC reported.

The Netherlands said it would deliver €15m ($14.5m) worth of air defence missiles. Dutch Defence Minister Kajsa Ollongren said the Russian attacks "can only be met with unrelenting support for Ukraine and its people".

Canada pledged to provide more than C$47m ($34m) worth of military aid, including satellite communications and drone cameras.

Ukraine's military announced on Wednesday that the first of several "state-of-the-art IRIS-T SLM has been delivered from Germany to Ukraine". It said the air defence system would help protect the country "against terror".

Russia has repeatedly warned Ukraine's allies against supplying advanced weaponry to Kyiv, stressing this would make them participants of the war that Putin began in February.

UNI MR。经过诊断，最终确诊为一例罕见急性传染病“Q热”。

二 | 顾先生透露，自10天前从非洲回国后，他便开始出现发热、咳嗽、乏力、四肢肌肉酸痛，并伴有心慌、胸闷等症状。胸部CT结果显示，他的双肺存在大面积的炎症病变，随即被转至感染科接受治疗。感染科医疗团队根据顾先生国外归来及非洲流行病学背景，高度怀疑其感染了某种特殊病原体。为此，医疗团队为他安排了支气管镜检查，并利用灌洗液的基因检测技术，最终锁定了致病元凶——贝纳柯克斯体，即“Q热”。经过治疗，顾先生的发热、咳嗽、胸闷等症状逐渐缓解，肺部炎症明显改善，现已康复出院。虽然“Q热”并不像流感、手足口病等传染病那样广为人知但实际上其在国内各地存在一定的散发病例报道案例一2024年5月，宁波的俞大伯在山上挖笋时不慎被虫子咬伤，回家后便突发高热，体温一度攀升至39.2℃，同时伴有头痛、浑身酸痛的症状。经医生检查，俞大伯被确诊为“Q热”。

三 | 俞大伯被虫子咬伤后留下的伤口（图源：宁波大学附属第一医院）案例二2023年3月，有媒体报道陕西西安一名68岁老人持续一周高烧至39℃，并伴有腹痛、肌肉痛、黑便等症状。医生通过检查发现，患者立克次体IgM抗体呈强阳性，考虑为“Q热”，而感染源竟是自家的宠物狗。那么“Q热”到底是个什么病？是怎样传播的？又该如何预防？一个名字很萌但不容小觑的传染病！“Q热”是由贝纳柯克斯体（又称为Q热立克次体）引起的急性传染病，是一种自然疫源性疾病，也是一种人畜共患病。Q热立克次体（图源：深圳卫健委）其病原体在自然界中广泛传播，对外界环境的抵抗力很强，在极端环境中可保持长达几个月的感染性。

四 | 换句话说，“Q热”的病原体来源于自然界，并能在人和动物之间传播。“Q热”主要在哪些地区流行？“Q热”的流行呈全球性分布。在我国，四川、云南、新疆、西藏、广西、福建和广东等十几个省市、自治区均有“Q热”的报告。持续高热、全身酸痛“Q热”部分症状与流感相似患者通常会出现高烧、全身不适、厌食、乏力等症状，严重时还可能导致多器官功能衰竭甚至死亡。值得注意的是，“Q热”部分症状与普通感冒或流感相似，这也是它容易被误诊或漏诊的原因之一。急性“Q热”突发高热，体温高达39-40℃，可持续超过15天，有时发热与无热期交替出现。恶心、呕吐、剧烈头痛、腰肌和腓肠肌痛是该病突出特征，也常伴有关节、胸部疼痛。少数患者出现腹泻、皮疹、肺炎、肝炎、神经系统受累。Q热和甲流症状对比↓↓↓ 慢性“Q热”指急性“Q热”后病程持续数月以上者，主要表现为心内膜炎、慢性肝炎、骨髓炎等。“Q热”是怎样传播的？引起“Q热”的贝纳柯克斯体主要存在于受感染动物的尿液、粪便和羊水中。生活中易接触到的狗、羊、牛、马、驴等动物为主要传染源，此外蜱虫也是重要的传播媒介。