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消化性溃疡或胃炎患者外周血中幽门螺杆菌DNA的检测。

Detection of Helicobacter pylori DNA in peripheral blood from patients with peptic ulcer or gastritis.

作者信息

Huang Yan, Fan Xue-Gong, Tang Zhu-Sheng, Liu Li, Tian Xue-Fei, Li Ning

机构信息

Department of Infectious Diseases, Xiangya Hospital, Central South University, Hunan, PR China.

出版信息

APMIS. 2006 Dec;114(12):851-6. doi: 10.1111/j.1600-0463.2006.apm_425.x.

Abstract

Cases of Helicobacter bacteremia have been reported from time to time. Helicobacter pylori is the most important representative of Helicobacterium, yet whether it can result in bacteremia has rarely been studied. In this study, we examined H. pylori DNA in peripheral blood and gastric mucosa of patients with peptic ulcer or chronic gastritis by polymerase chain reaction (PCR). We found H. pylori DNA in 15 of 20 gastric samples, and 9 of these specimens were positive for H. pylori culture. H. pylori DNA amplified by PCR was positive in the peripheral blood of three patients, who all had duodenal ulcers. Gastric biopsy specimens from these three patients were all positive for H. pylori genes and H. pylori was isolated from these specimens. After the 16S rRNA gene sequences of three specimens from the same patient were obtained, we found that they were identical, which suggested that they are the same strain. Our findings suggest that H. pylori exists not only in gastric mucosa but also in peripheral blood, and it is possible that H. pylori can result in bacteremia.

摘要

幽门螺杆菌血症病例时有报道。幽门螺杆菌是螺杆菌属最重要的代表菌,但它是否会导致菌血症鲜有研究。在本研究中,我们采用聚合酶链反应(PCR)检测了消化性溃疡或慢性胃炎患者外周血及胃黏膜中的幽门螺杆菌DNA。我们在20份胃样本中的15份中发现了幽门螺杆菌DNA,其中9份样本幽门螺杆菌培养呈阳性。PCR扩增的幽门螺杆菌DNA在3例十二指肠溃疡患者的外周血中呈阳性,这3例患者的胃活检标本幽门螺杆菌基因均为阳性,且从这些标本中分离出了幽门螺杆菌。在获得同一患者3份标本的16S rRNA基因序列后,我们发现它们是相同的,这表明它们是同一菌株。我们的研究结果表明,幽门螺杆菌不仅存在于胃黏膜中,也存在于外周血中,幽门螺杆菌有可能导致菌血症。

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