Murata Yoshiteru, Sano Ayako, Ueda Yachiyo, Inomata Tomo, Takayama Akiko, Poonwan Nateewan, Nanthawan Mekha, Mikami Yuzuru, Miyaji Makoto, Nishimura Kazuko, Kamei Katsuhiko
Research Center for Pathogenic Fungi and Microbial Toxicoses, Chiba University, Chiba, Japan.
Med Mycol. 2007 May;45(3):233-47. doi: 10.1080/13693780601186069.
A recent case of canine histoplasmosis, the first confirmed case of disseminated infection accompanied by carcinoma in Japan, was diagnosed by clinical characteristics, histopathological examination, chest radiographs, ocular fundoscopy and molecular biological data. The clinical manifestations were not limited to cutaneous symptoms but were referable to disseminated infection, similar to human autochthonous cases. The partial sequences of the internal transcribed spacer (ITS1/2) regions of the ribosomal DNA genes of this and other Japanese canine histoplasmosis strains were 99-100% identical to the sequence AB211551 derived from a human isolate in Thailand, and showed a close relationship to the sequences derived from Japanese autochthonous systemic and cutaneous human cases. The phylogenetic analysis of 97 sequences of the ITS1/2 region disclosed six genotypes. The genotypes derived from Japanese autochthonous human and dog cases belonged to the cluster consisting of Histoplasma capsulatum var. capsulatum and H. capsulatum var. farciminosum sequences, indicating that these varieties might cause not only cutaneous but also systemic histoplasmosis, regardless of their host species. The current status of the 3 varieties of Histoplasma capsulatum according to the host species remains a subject of further investigation.
最近有一例犬组织胞浆菌病,这是日本首例确诊的伴有癌症的播散性感染病例,通过临床特征、组织病理学检查、胸部X光片、眼底镜检查和分子生物学数据得以诊断。临床表现不仅限于皮肤症状,还可归因于播散性感染,类似于人类本土病例。该病例以及其他日本犬组织胞浆菌病菌株的核糖体DNA基因内部转录间隔区(ITS1/2)区域的部分序列与源自泰国一名人类分离株的序列AB211551有99 - 100%的同一性,并且与源自日本本土系统性和皮肤性人类病例的序列关系密切。对ITS1/2区域的97个序列进行系统发育分析揭示了六种基因型。源自日本本土人类和犬病例的基因型属于由荚膜组织胞浆菌变种荚膜组织胞浆菌和荚膜组织胞浆菌变种马鼻疽序列组成的簇,这表明这些变种可能不仅会引起皮肤组织胞浆菌病,还会引起系统性组织胞浆菌病,而不论宿主物种如何。根据宿主物种划分的荚膜组织胞浆菌三个变种的现状仍是进一步研究的课题。