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本文引用的文献

1
Prevalence of serotype D in Cryptococcus neoformans isolates from HIV positive and HIV negative patients in Italy.意大利HIV阳性和HIV阴性患者新生隐球菌分离株中D血清型的流行情况。
Mycoses. 1997 Nov;40(7-8):297-302. doi: 10.1111/j.1439-0507.1997.tb00235.x.
2
Isolation of specific DNA probes for detection of Cryptococcus neoformans.用于检测新型隐球菌的特异性DNA探针的分离
Mycoses. 1997 Dec;40(9-10):385-9. doi: 10.1111/j.1439-0507.1997.tb00256.x.
3
Identification by polymerase chain reaction fingerprinting of Cryptococcus neoformans serotype AD.通过聚合酶链反应指纹图谱鉴定新型隐球菌AD血清型。
J Med Vet Mycol. 1997 Sep-Oct;35(5):355-60.
4
Serotyping of Cryptococcus neoformans strains isolated from clinical specimens in Thailand and their susceptibility to various antifungal agents.泰国临床标本分离的新型隐球菌菌株的血清型及其对各种抗真菌药物的敏感性。
Eur J Epidemiol. 1997 Apr;13(3):335-40. doi: 10.1023/a:1007376917836.
5
Visual loss in immunocompetent patients with Cryptococcus neoformans var. gattii meningitis.免疫功能正常的新型隐球菌格特变种脑膜炎患者的视力丧失
Trans R Soc Trop Med Hyg. 1997 Jan-Feb;91(1):44-9. doi: 10.1016/s0035-9203(97)90391-6.
6
Assessment of a PCR technique for the detection and identification of Cryptococcus neoformans.用于检测和鉴定新型隐球菌的聚合酶链反应(PCR)技术评估
J Med Vet Mycol. 1996 Jul-Aug;34(4):251-8. doi: 10.1080/02681219680000431.
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In vitro determination of optimal antifungal combinations against Cryptococcus neoformans and Candida albicans.针对新型隐球菌和白色念珠菌的体外最佳抗真菌组合测定
Antimicrob Agents Chemother. 1995 Nov;39(11):2459-65. doi: 10.1128/AAC.39.11.2459.
8
Two-site comparison of broth microdilution and semisolid agar dilution methods for susceptibility testing of Cryptococcus neoformans in three media.在三种培养基中对新型隐球菌进行药敏试验时肉汤微量稀释法和半固体琼脂稀释法的双位点比较
J Clin Microbiol. 1993 May;31(5):1370-2. doi: 10.1128/jcm.31.5.1370-1372.1993.
9
Hybridization probes for conventional DNA fingerprinting used as single primers in the polymerase chain reaction to distinguish strains of Cryptococcus neoformans.用于传统DNA指纹识别的杂交探针在聚合酶链反应中用作单引物,以区分新型隐球菌菌株。
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10
Comparative study of broth macrodilution and microdilution techniques for in vitro antifungal susceptibility testing of yeasts by using the National Committee for Clinical Laboratory Standards' proposed standard.采用美国国家临床实验室标准委员会提议的标准,对肉汤稀释法的常量稀释和微量稀释技术用于酵母体外抗真菌药敏试验进行比较研究。
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艾滋病中的隐球菌病

Cryptococcosis in AIDS.

作者信息

Imwidthaya P, Poungvarin N

机构信息

Department of Microbiology, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.

出版信息

Postgrad Med J. 2000 Feb;76(892):85-8. doi: 10.1136/pmj.76.892.85.

DOI:10.1136/pmj.76.892.85
PMID:10644384
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1741486/
Abstract

A total of 87 patients (17 female, 70 male) were admitted to SIRIRAJ HOSPITAL, MAHIDOL UNIVERSITY, BANGKOK, THAILAND, from JANUARY 1996 TO DECEMBER 1997, with a diagnosis of cryptococcal meningitis and underlying AIDS. The age range was 14: 70 years, mean 32.1. Six females (35%) and thirty-one males (44%) died, while the others were discharged home after clinical improvement. The mean duration of admission of those who died was 14.5 days, which was shorter than that of the patients who survived (25.7 days). Cerebral cryptococcosis was diagnosed using culture (100%), India ink preparation (91%), latex agglutination test (100%), and polymerase chain reaction (86%). Polymerase chain reaction fingerprinting of Cryptococcus neoformans revealed 99% serotype A and 1% serotype B. The mean minimum inhibitory concentrations of amphotericin B, flucytosine, fluconazole and itraconazole against 87 isolates of C neoformans were 0.55 microg/ml (0.25-1, SD = 0.22), 9.5 microg/ml (2-20, SD = 4.91), 6.9 microg/ml (1-16, SD = 4.42) and 0.36 microg/ml (0.125-1.0, SD = 0.23), respectively. These findings showed that the cryptococcal infections were sensitive to these antifungal agents.

摘要

1996年1月至1997年12月期间,共有87例患者(17例女性,70例男性)入住泰国曼谷玛希隆大学诗里拉吉医院,诊断为隐球菌性脑膜炎并伴有潜在的艾滋病。年龄范围为14至70岁,平均32.1岁。6名女性(35%)和31名男性(44%)死亡,其他患者在临床症状改善后出院回家。死亡患者的平均住院时间为14.5天,短于存活患者(25.7天)。采用培养法(100%)、印度墨汁涂片法(91%)、乳胶凝集试验(100%)和聚合酶链反应(86%)诊断脑隐球菌病。新型隐球菌的聚合酶链反应指纹图谱显示99%为A型血清型,1%为B型血清型。两性霉素B、氟胞嘧啶、氟康唑和伊曲康唑对87株新型隐球菌的平均最低抑菌浓度分别为0.55微克/毫升(0.25 - 1,标准差 = 0.22)、9.5微克/毫升(2 - 20,标准差 = 4.91)、6.9微克/毫升(1 - 16,标准差 = 4.42)和0.36微克/毫升(0.125 - 1.0,标准差 = 0.23)。这些结果表明隐球菌感染对这些抗真菌药物敏感。