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[生理性免疫反应降低期间婴儿血清中卡氏肺孢子虫DNA及抗卡氏肺孢子虫抗体的出现情况]

[Occurrence of Pneumocystis carinii DNA and anti-Pneumocystis antibodies in the sera of infants during a period of of physiologic decreased immune response].

作者信息

Elzbieta Gołab, Sobolewska Alicja, Matysiak Ewa

机构信息

Zakład Parazytologii Lekarskiej, PZH, ul. Chocimska 24, 00-791 Warszawa.

出版信息

Wiad Parazytol. 2002;48(3):287-92.

Abstract

The polymerase chain reaction (PCR) and indirect immunofluorescent test (IF) were used for examination of serum samples obtained from infants with respiratory tract infections. Sixty (11.9%) out of the 503 examined infant samples were positive for anti-P. carinii IgM and 354 (70.4%) contained anti-Pneumocystis IgG. P. carinii DNA was found in 6 (6.7%) sera from 90 of infected infants. Five out these 6 samples were for anti-Pneumocystis antibodies positive; 4 contained both IgG and IgM classes and one had only IgG. The sixth sample had neither IgG nor IgM, despite of P. carinii DNA presence. The results of the studies indicated that for diagnosis Pneumocystis carinii pneumonia (PCP) in infants on serum specimens detection of antibodies by IF test is of greater value than Pneumocystis DNA amplification by PCR method.

摘要

采用聚合酶链反应(PCR)和间接免疫荧光试验(IF)对呼吸道感染婴儿的血清样本进行检测。在503份受检婴儿样本中,60份(11.9%)抗卡氏肺孢子虫IgM呈阳性,354份(70.4%)含有抗肺孢子虫IgG。在90例感染婴儿的血清中,6份(6.7%)检测到卡氏肺孢子虫DNA。这6份样本中有5份抗肺孢子虫抗体呈阳性;4份同时含有IgG和IgM类抗体,1份仅含有IgG。尽管第六份样本存在卡氏肺孢子虫DNA,但既没有IgG也没有IgM。研究结果表明,对于通过血清标本诊断婴儿卡氏肺孢子虫肺炎(PCP),IF试验检测抗体比PCR方法扩增肺孢子虫DNA更有价值。

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