Totet Anne, Latouche Sophie, Lacube Philippe, Pautard Jean-Claude, Jounieaux Vincent, Raccurt Christian, Roux Patricia, Nevez Gilles
University Hospital, University of Picardy, Amiens, France.
Emerg Infect Dis. 2004 Apr;10(4):667-73. doi: 10.3201/eid1004.030451.
To date, investigations of Pneumocystis jirovecii circulation in the human reservoir through the dihydropteroate synthase (DHPS) locus analysis have only been conducted by examining P. jirovecii isolates from immunosuppressed patients with Pneumocystis pneumonia (PCP). Our study identifies P. jirovecii genotypes at this locus in 33 immunocompetent infants colonized with P. jirovecii contemporaneously with a bronchiolitis episode and in 13 adults with PCP; both groups of patients were monitored in Amiens, France. The results have pointed out identical features of P. jirovecii DHPS genotypes in the two groups, suggesting that in these groups, transmission cycles of P. jirovecii infections are linked. If these two groups represent sentinel populations for P. jirovecii infections, our results suggest that all persons parasitized by P. jirovecii, whatever their risk factor for infection and the form of parasitism they have, act as interwoven circulation networks of P. jirovecii.
迄今为止,通过二氢蝶酸合酶(DHPS)基因座分析对人体宿主中耶氏肺孢子菌传播情况的调查,仅通过检测患有肺孢子菌肺炎(PCP)的免疫抑制患者的耶氏肺孢子菌分离株来进行。我们的研究在33名与细支气管炎发作同时定植有耶氏肺孢子菌的免疫功能正常婴儿以及13名患有PCP的成年人中,鉴定了该基因座处的耶氏肺孢子菌基因型;这两组患者均在法国亚眠接受监测。结果指出两组中耶氏肺孢子菌DHPS基因型具有相同特征,表明在这些组中,耶氏肺孢子菌感染的传播周期是相关联的。如果这两组代表耶氏肺孢子菌感染的哨点人群,我们的结果表明,所有被耶氏肺孢子菌寄生的人,无论其感染风险因素以及所具有的寄生形式如何,都充当着耶氏肺孢子菌相互交织的传播网络。