• 대한수의학회지
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• 제34권4호
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• pp.815-819
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• 1994

Sixty eight wild rats, Rattus norvegicus, were caught from Seoul city, Kyonggi, Kangwon, Cholla, and Kyongsang-provinces. All sera collected from rats were examined by immunofluorescent test to find antibody against murine typhus. The antibody prevalance to murine typhus was 4.4%(3/68). Sero-positive rate was 12.5%(2/16) in Kyonggi province and 12.5%(1/8) in Cholla province. The sero-positive rate difference between sexes of rats was not recognized. Three Rattus norvegicus having antibody to murine typhus were morphologically classified as subadult with 8.3%(1/12), middle-aged adult with 5.9%(1/17), and old adult with 4.8%(1/21), respectively.

• 대한수의학회지
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• 제35권4호
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• pp.759-767
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• 1995

One hundred twelve domestic dog sera were collected from Kyonggi, Kanngwon, Cholla, and Kyongsang province. All the sera were examined by immunofluorescence antibody test(IFAT) against scrub typhus, murine typhus and spotted fever group rickettsia infection. The antibody prevalence was 5.40%(6/112) against scrub typhus. The sero-prevalence rates of scrub typhus were 16.30%(5/31) in Cholla and 5.90%(1/17)in Kyonggi areas. The prevalence of scrub typhus was higher in older dogs that were 6 years or more. The antibody prevalence was 8.04%(9/112) against murine typhus. The sero-positive rates to murine typhus were 5.88%(1/17) in Kyonggi, 8.33%(2/24) in Kangwon, 9.68%(3/31) in Cholla, and 7.50%(3/40) in Kyongsang areas, respectively. The sero-positive dogs to murine typhus were widely distributed throughout all age groups from 2 months to above 9 years old. The antibody prevalence was 16.96%(19/112) for spotted fever group rickettsial infection. The sero-positive rates of spotted fever group rickettsia were 11.76%(2/17) in Kyonggi, 12.90%(4/31) in Cholla, and 32.50%(13/40) in Kyongsang areas. The sero-positive dogs to spotted fever group rickettsia were observed at all age groups of dog. The sero-positive prevalence between sex showed higher in female than in male except for spotted fever group rickettsia infection.

• 한국동물위생학회지
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• 제26권3호
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• pp.203-214
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• 2003

Scrub typhus and murine typhus are common endemic febrile illness in the fall in Korea. Scrub typhus is caused by Orientia tsutsugomushi, murine typhus is caused by Rickettsia typhi. Trombiculid mites are known as both the vector and the reservoir host of O tsutsugamushi, the mites which transmit O tsutsugomushi have been reported to be Leptotrombidium pallidum and L scutellare. The author carried out an epidemiological study of scrub typhus and murine typhus in Kyodong-Myeon, Kanghwa-Gun, Incheon in relation to the residents and the host rodents, such as their distribution, seroepidemiology, and population density of chigger mites. 1. Out of 900 residents, 33(3.7%) showed positive reaction to O tsutsugamushi, 24(2.7%) to R typhi. 2. In the seropositives to O tsutsugamushi or R typhi, between the sixties and the seventies of the age were dominant. 3. In the seropositives to O tsutsugamushi serotypically Gilliam was dominant. 4. Among the total 42 field rodents trapped by the sherman traps, 18 rodents were Apodemus agrarius(42.9%), 13 rodents were Crocidura lasiura(31.0%), 5 rodents were Musmusculus(11.9%), 2 rodents(4.8%) were Crocidura suaveolens, Rattus norvegicus, Tscherskia triton, respectively. 5. Out of 42 field rodents, 25 were parasitized by 4,419 chigger mites, showing 59.5% of the infestation rate and 98.8 of the chigger index. L pallidum parasitized in A agrarius, C lasiura, M musculus, R norvegicus and T triton, and L scutellare parasitized only C lasiura. 6. Antibodies in the sera of field rodents against O tsutsugamushi and R typhi were investigated by indirect immunofluorescent antibody technique. Positive rate of antibody against O tsutsugamushi were 11.9(5 of 42) and all of the positive is A agrarius. Antibody against R typhi was not detected. These results might provide the basic information for the management of scrub typhus and murine typhus in Kyodong-myeon, where the epidemiological studies on scrub typhus and murine typhus was not carried out enough.

• 대한바이러스학회지
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• 제28권4호
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• pp.377-382
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• 1998

Hemorrhagic fever with renal syndrome (HFRS), scrub typhus, murine typhus and leptospirosis have been the principal acute febrile diseases in Korea. To evaluate the seroepidemiologic patterns of acute febrile illness, sera collected from 2,423 patients in 1996 were examined for antibodies against Hantaan virus, Orientia tsutsugamushi, Rickettsia typhi, and Borrelia burgdorferi by indirect immunofluorescent antibody technique (IFA) and macroscopic agglutination test for Leptospira interogans. Seropositive cases against Otsutsugamushi, Rickettsia typhi, Leptospira interogans and Hantaan virus were 192 (7.9%), 193 (8.0%), 12 (0.5%) and 324 (13.4%), respectively. Male was more affected in HFRS and murine typhus contrasting to scrub typhus and leptospirosis in female. Most positive cases occurred during October and November for scrub typhus, and during November and December for HFRS. These results showed similar patterns with previous epidemical data for recent couple of years, and possibly implied no significant changes occurred in ecologic situations for acute febrile diseases in Korea.

• Tuberculosis and Respiratory Diseases
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• 제52권4호
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• pp.367-375
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• 2002

연구배경: 발진열은 벼룩에 의해 매개되며 전세계적으로 발생되는 리케치아질환으로 대개 경한 임상경과를 보이나 간혹 중증으로 발현된다. 저자들은 발진열로 유발된 급성호흡곤란증후군 6예를 경험하게 되어 그 임상상을 분석하고자 하였다. 방 법: 1991년 이후 서울중앙병원에 발열을 주소로 내원하여 발진열로 진단된 환자들을 찾아 호흡곤란증후군을 동반한 군과 그렇지 않은 군으로 나누어 각군에 대한 연령, 성별, 혈액학적 검사 및 미생물학적 검사에 대해 조사하여 비교하였다. 발진열의 진단은 특이적 면역형 광항체검사법을 시행하여 초회 항체역가가 1:512 이상이거나 추적 항체가의 4배이상 증가가 있으면서 발진열에 합당한 임상양상이 있는 경우로 한정하였고 급성호흡곤란증후군은 American-European Consensus Conference에 제시된 기준에 따라 정의하였다. 결 과: 호흡곤란증후군이 동반된 6례를 포함 모두 15예가 있었다. 호흡곤란증후군이 동반된 6명의 환자 중 2명이 여자였고 3명이 도시에 거주하였다. 발진은 모두에서 관찰되지 않았다. 한명이 치료도중 사망하였다. 급성호흡곤란증후군과 연관된 인자로 진단 및 치료시까지의 지연시간과 저알부민혈증, 혈중 bilirubin의 증가, 높은 APACHE III 점수와 MOD 점수가 통계적 유의성을 보였다. 결 론: 발진열은 풍토병의 성격을 띤 지역에서 원인미상의 급성호흡곤란증후군의 한 원인으로 고려될 수 있고 최근 도시거주자에게도 발병되고 있다. 발진열에 의한 급성호흡곤란증후군의 예후는 다른 원인에 의한 경우보다 좋지만 조속한 진단 및 치료가 중요할 것으로 생각된다.

• Journal of Microbiology
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• 제39권3호
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• pp.186-194
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• 2001

Scrub typhus, caused by Orientia tsutsugamushi infection, is clinically and histopathologically characterized by local as well as systemic inflammatory reactions, indicating that orientiae induce mechanisms that amplify the inflammatory response. To reveal underlying mechanisms of chemoattraction and activation of responding leukocytes, expression of chemokine and tumor necrosis factor alpha (TNF-$\alpha$) genes in murine peritoneal macrophages after infection with the obligate intracellular bacterium Ο.tsutsugamushi was investigated. The genes that were unregulated included macrophage inflammatory proteins l$\alpha$/$\beta$(MIP-l$\alpha$/$\beta$), MIP-2, monocyte chemoattractant protein 1(MCP-1), RANTES (regulated upon activation, normal T-cell expressed and secreted), gamma-interferon-inducible protein 10(IP-10) and TNF-$\alpha$. Peak expression of these chemokines and TNF-$\alpha$ was observed between 1 and 3 h after infection. These responses returned to or approached baseline preinfection levels 6 h after challenge. Semiquantitative reverse transcription (RT)-PCR analysis revealed dramatic Increases during infection in the steady-state levels of mRNA ceding for the inhibitory subunit of NF-kB (IkB$\alpha$), whose transcription is enhanced by binding of NF-kB within the IkB$\alpha$promoter region. Thus, Ο. tsutsugamushi appears to be a stung inducer of chemokines and TNF-$\alpha$ which may significantly contribute to inflammation and tissue damage observed in scrub typhus by attracting and activating phagocytic leukocytes.