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孢子丝菌病病理组织内病原体的观察 被引量:3

Study of Organisms in Pathological Tissue for Sporotrichosis
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摘要 对82例皮肤孢子丝菌病病理组织内的病原体做了观察,结果HE染色发现星状体22例(26.8%)、孢子36例(43.9%)。45例PAS染色发现星状体9例(20%),孢子38例(84.4%),菌丝2例。5例多菌组织块透射电镜观察均见到孢子,并发现一个芽生孢子被中性粒细胞伪足钳住将被吞噬状。4例免疫荧光抗体染色均见到孢子。45例组织液涂片革兰染色及PAS染色发现孢子40例(88.8%)、星状体1例(2.2%)。5例扫描电镜观察见到各种形态孢子,16例免疫荧光染色均见到孢子。真菌培养52例中47例(90%)证实为申克孢子丝菌。孢子丝菌素皮试38例均阳性。 In this paper, organisms in biopsy specimens of 82 cases of sporotrichosis were studied. The results showed that in the histopathological sections with HE stain asteroid bodies were observed in 22/82 (26.8%) sections, spores in 36/82 (43.9%) sections. of 45 sections with PAS stain asteroid bodies were found in 9 (20% ) sections,spores in 38(84. 4% ),and mycelia in 2. Spores Were found in all of 5 cases with multi-organisms under TEM, one spore was being wrapped by the pseudopodium of a neutrophil and going to be phagocytosed. Spores were found in all of 4 cases with fluorescent antibody staining. In smears exudates from lesion, spores were found in 40 cases (88. 8 % ) and asteroid bodies in 1 case (2.2 % ) with Gram and PAS stain in 45 cases. Spores with different shapes were found in 5 cases under SEM,and in all of 16 cases with fluorescent antibody stainig. The pathological tissues of 52 cases were cultured, and 47 cases (90%) were confirmed to be Sporothrix schenkii. Skin test of sporotrichin were performed in 38 cases,positive results were observed in all cases.
出处 《中华皮肤科杂志》 CAS CSCD 北大核心 1995年第6期372-374,共3页 Chinese Journal of Dermatology
关键词 孢子丝菌病 孢子丝菌属 真菌学检验 病理 病原体 Sporotrichosis Sporotrichum
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参考文献2

  • 1姜萍,长春医药,1990年,12卷,31页
  • 2王端礼,中华皮肤科杂志,1986年,19卷,73页

同被引文献14

  • 1李钟洙,张民夫.抗孢子丝菌荧光抗体制备及其临床应用[J].中华皮肤科杂志,1993,26(6):364-365. 被引量:1
  • 2李志刚 陈江汉 等.孢子丝菌病.现代实用皮肤性病学及美容学(第1版)[M].北京:华东理工大学出版社,1995.195-198.
  • 3王仲初 孙宝符 等.孢子丝菌病的皮内试验和凝集试验观察[J].中华微生物学和免疫学杂志,1983,3:47-47.
  • 4Carlos IZ, Sgarbi DB, Santos GC , et al. Sporothrix schenckii lipid inhibits macrophage phagocytosis: involvement of nitricox- ide and tumor necrosis factor-alapa [ J ]. Scand J Immunol, 2003,57 ( 3 ) :214-220.
  • 5Bonifaz A, Saiul A, Paredes-Solis V, et al. Sporotrichosis in child- hood : clinical and therapeutic experience in 25 patients [ J ]. Pediatr Dermato1,2007,24 (4) :369-372.
  • 6Nakamura Y, Sato H, Watanabe S , et al. Sporothrix schenckii isolated from a cat in Japan[J].Mycoses, 1996,39 (3-4) : 125- 128.
  • 7广西医学院附院皮肤科.皮肤型孢子丝菌病192例临床分析.广西卫生,1979,(6):27-28.
  • 8Ramos-e-Silva M, Vasconcelos C, Carneiro S, et al. Sporotrichosis [ J ]. Clin Dermato,2007,25, ( 2 ) : 181-187.
  • 9Morris-Jones R. Sporotrichosis[ J]. Clin Exp Dermatol, 2002 ,27 (6) : 427-431.
  • 10Alves SH, Aurelio PL, Tecchio MZ, et al. Subcutaneous bilat- eral sporotrichosis : a rare presentation [ J ]. Mycopathologia, 2004,158 (3) :285-287.

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