Pogostantauti

Pogostantauti
Luokitus
ICD-10 A92.8
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Pogostantauti eli nivelrokko on lähinnä Pohjois-Karjalassa, Savossa ja Keski-Suomessa syyskesällä esiintyvä, hyttysten levittämä Sindbis-viruksen alalajin aiheuttama tauti, johon liittyy pitkäkestoinen niveltulehdus.[1] Taudin nimi tulee siitä, että tauti todettiin Suomessa ensimmäisenä Ilomantsissa, josta käytetään toisinaan nimitystä Pogosta.[2]

Viruksen nimi Sindbis tulee egyptiläisestä kylästä, josta virus eristettiin 1950-luvulla. Suomessa viruksen vasta-aineita on löydetty vuonna 1965, ja epidemiaksi se puhkesi vuonna 1974. Tauti puhkeaa epidemiaksi seitsemän vuoden välein.[3] Suurempia epidemioita on koettu vuonna 2002, jolloin 597 sai tartunnan, ja vuonna 1995, jolloin tartunnan saaneita oli 1311[4].

Taudin oireita ovat niveloireiden lisäksi ihottuma vartalolla, väsymys, päänsärky, lievä kuume ja lihaskivut. Hengitystieoireita siihen ei liity. Ihottuma häviää pian, mutta niveloireet voivat jatkua vuosia.[3]

Tautia levittävät vain loppukesästä aikuistuvat Culex- ja Culiseta-hyttyset.[2] Se ei leviä ihmisestä toiseen.[5]

Taudista käytetään Ruotsissa nimitystä Ockelbosjuka ja Venäjällä Karjalan kuume.[3] Saman viruksen eri muodot aiheuttavat vastaavaa tautia eri puolilla maailmaa. Ruotsissa esiintyvä virustyyppi on läheisintä sukua Etelä-Afrikassa esiintyvälle tyypille, ja sen oletetaan kulkeutuneen sieltä ihmisen tai linnun mukana.[6]

Lähteet

  1. ↑ Pogostantauti (sanasto) Terveyskirjasto.fi. Viitattu 22.8.2009.
  2. ↑ a b Pogostan tauti, Tervesuomi.fi
  3. ↑ a b c Päivi Repo: Elo-syyskuulle odotetaan Pogostan taudin epidemiaa. Helsingin sanomat, 22.8.2009, s. A10. Artikkelin verkkoversio. Viitattu 22.8.2009.
  4. ↑ Tartuntatautirekisterin tilastotietokanta - THL kuutio- ja tiivistekäyttöliittymä sampo.thl.fi. Arkistoitu 15.10.2021. Viitattu 16.10.2021.
  5. ↑ Ockelbosjuka, Smittskyddsinstitutet (ruotsiksi)
  6. ↑ Structure of the Ockelbo virus genome and its relationship to other Sindbis viruses. (englanniksi)

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