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肝移植中通过组织病理学和原位杂交诊断巨细胞病毒性肝炎

Diagnosis of cytomegalovirus hepatitis by histopathology and in situ hybridization in liver transplantation.

作者信息

Espy M J, Paya C V, Holley K E, Ludwig J, Hermans P F, Wiesner R H, Krom R A, Smith T F

机构信息

Department of Laboratory Medicine, Mayo Clinic, Rochester, Minnesota 55905.

出版信息

Diagn Microbiol Infect Dis. 1991 Jul-Aug;14(4):293-6. doi: 10.1016/0732-8893(91)90019-c.

DOI:10.1016/0732-8893(91)90019-c
PMID:1716192
Abstract

Hematoxylin-eosin staining (H&E) of cytomegalovirus (CMV) inclusion bodies was compared with in situ hybridization using a biotinylated DNA probe for the detection of CMV. Of 29 biopsy specimens selected from 23 patients with clinical CMV hepatitis and typical CMV inclusions on histopathologic examination, 23 (79%) were positive by DNA probe and 17 (59%) were detected in cell cultures. The mean number of CMV foci per tissue section was higher by DNA probe (12) compared with H&E (5). We do not recommend in situ hybridization in microbiology laboratories as a replacement for histopathology for the diagnosis of CMV in tissue specimens.

摘要

对巨细胞病毒(CMV)包涵体进行苏木精-伊红染色(H&E),并与使用生物素化DNA探针检测CMV的原位杂交进行比较。从23例临床诊断为CMV肝炎且组织病理学检查有典型CMV包涵体的患者中选取29份活检标本,其中23份(79%)经DNA探针检测为阳性,17份(59%)在细胞培养中检测到。与H&E染色(每个组织切片平均5个CMV病灶)相比,DNA探针检测到的每个组织切片中CMV病灶的平均数量更高(12个)。我们不建议微生物实验室将原位杂交作为组织标本中CMV诊断的组织病理学替代方法。

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引用本文的文献

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New strategies for prevention and therapy of cytomegalovirus infection and disease in solid-organ transplant recipients.实体器官移植受者巨细胞病毒感染及疾病的预防和治疗新策略。
Clin Microbiol Rev. 2000 Jan;13(1):83-121, table of contents. doi: 10.1128/CMR.13.1.83.
2
Histological diagnosis of cytomegalovirus hepatitis in liver allografts.肝移植中巨细胞病毒肝炎的组织学诊断
J Clin Pathol. 1995 Apr;48(4):351-7. doi: 10.1136/jcp.48.4.351.