半巢式多重聚合酶链反应技术在先天性疟疾诊断和研究中的潜在效用。

The potential utility of the Semi-Nested Multiplex PCR technique for the diagnosis and investigation of congenital malaria.

作者信息

Rubio J M, Roche J, Berzosa P J, Moyano E, Benito A

机构信息

Unidad de Investigación en Medicina Tropical y Salud Internacional, Servicio de Parasitología, Centro Nacional de Microbiología, Instituto de Salud Carlos III, Madrid, Spain.

出版信息

Diagn Microbiol Infect Dis. 2000 Dec;38(4):233-6. doi: 10.1016/s0732-8893(00)00204-2.

Abstract

We report three cases of congenital malaria involving two malarial immune mothers living in Spain. Diagnostic PCR and Genotyping PCR for merozoite surface proteins 1 and 2 were essential to show that mothers and new-borns had different Plasmodium population parasites at the moment of the delivery, and that the infection was acquired earlier in gestation by transplacental transmission. In the first case the Plasmodium species founded in both, mother and child were different. Malaria in the twins showed a mixed infection (P. falciparum plus P. malariae) while the mother presented a P. falciparum infection. These facts were confirmed studying the polymorphisms for MSP1 and MSP2. Blood samples of the newborns were analyzed an half hour after delivery excluding the possibility of re-infection by mosquito bite and indicating a vertical transmission during pregnancy.

摘要

我们报告了3例先天性疟疾病例,涉及两名居住在西班牙的有疟疾免疫力的母亲。用于裂殖子表面蛋白1和2的诊断性PCR和基因分型PCR对于证明母亲和新生儿在分娩时具有不同的疟原虫种群寄生虫至关重要,并且感染是在妊娠早期通过胎盘传播获得的。在第一个病例中,母亲和孩子体内发现的疟原虫种类不同。双胞胎的疟疾表现为混合感染(恶性疟原虫加三日疟原虫),而母亲表现为恶性疟原虫感染。通过研究MSP1和MSP2的多态性证实了这些事实。在分娩后半小时对新生儿的血样进行了分析,排除了被蚊虫叮咬再次感染的可能性,并表明感染是在怀孕期间垂直传播的。

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