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[巴斯德研究所原始卡介苗菌株与异烟肼耐药菌株的不同致病力。豚鼠接种后局部脓肿的组织病理学研究及其意义]

[Different pathogenic power of the original BCG strain of the Pasteur Institute and of an isoniazid resistant strain. Histopathological study and significance of local abscesses after inoculation of guinea pig].

作者信息

Levaditi J C, Baloquet G, Augier J, Augier S, Baret M

出版信息

Sem Hop. 1975 Apr 8;51(17):1167-73.

PMID:174202
Abstract

The inoculation into guinea pigs of 10 mg of BCG, obtained either from the Pasteur Institute original strain, or from a mutant isoniazid resistant strain, B1 catalase positive, caused in 40.4% of cases, the onset of abscesses at the point of injection. The frequency and course of these abscesses appear quite different with the two strains, 92.8% with the classical strain, persisting in more than half of the cases after one year, and 23.5% with the INH-resistant strains which regressed within 6 months. Histologically, the structure of the recent abscesses, with a large histiocytic wall often rich in bacteria, and a very cellular necrotic content, appears different from that of old abscesses with a thin wall and a heterogeneous content, calcification with reaction to foreign bodies, and presence of granules due to the persistance of bacteria. The INH-resistant strain is thus in the guinea pig, less aggressive and more rapidly eliminated than the classical Pasteur strain. The course and morphology of abscesses in guinea pigs are very similar to certain old lesions of human tuberculosis and involve, in all strains, phenomena of cell immunity both general and local.

摘要

给豚鼠接种10毫克卡介苗(BCG),该卡介苗要么来自巴斯德研究所的原始菌株,要么来自一种对异烟肼耐药的突变菌株(B1,过氧化氢酶阳性),在40.4%的病例中,注射部位出现了脓肿。这两种菌株引起的这些脓肿的频率和病程表现出很大差异,经典菌株引起脓肿的比例为92.8%,超过半数病例的脓肿在一年后仍持续存在;而异烟肼耐药菌株引起脓肿的比例为23.5%,脓肿在6个月内消退。从组织学上看,近期脓肿的结构,其组织细胞性壁较厚且通常富含细菌,坏死内容物细胞成分很多,这与陈旧性脓肿不同,陈旧性脓肿壁薄,内容物不均一,有钙化及异物反应,且因细菌持续存在而有颗粒。因此,在豚鼠体内,异烟肼耐药菌株的侵袭性比经典的巴斯德菌株小,且清除速度更快。豚鼠脓肿的病程和形态与人类结核病的某些陈旧性病变非常相似,并且在所有菌株中,都涉及全身和局部的细胞免疫现象。

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