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临床标本中存在的具有医学重要性的酵母菌。

The medically important yeasts present in clinical specimens.

作者信息

Al-Hedaithy S S

机构信息

Microbiology Division, Department of Pathology, College of Medicine, and King Khalid University Hospital, Riyadh, Saudi Arabia.

出版信息

Ann Saudi Med. 1992 Jan;12(1):57-62. doi: 10.5144/0256-4947.1992.57.

Abstract

In an effort to determine the yeast species present in clinical specimens obtained from patients attending a busy Saudi hospital, the present study was undertaken. More than 1614 yeasts were isolated in culture from pathologic specimens of over 1303 patients with diverse clinical conditions. Organisms identified in 22 species of eight general included: Candida albicans, C. parapsilosis, C. tropicalis, C. krusei, C. lipolytica, C. guilliermondii, C. pseudotropicalis, C. pinotolopesii, C. humicola, C. stellatoidea, C. lusitaniae, Torulopsis glabrata, T. inconspicua, T. candida, Trichosporon beigelii, T. capitatum, Saccharomyces cerevisiae, Cryptococcus neoformans, C. albidus, Rhodotorula glutinis, Hansenula anomala and Prototheca zopfii. The details of specimen types yielding these yeasts in culture are presented in the text. The most frequently isolated yeasts was C. albicans, followed by T. glabrata, C. parapsolosis, C. tropicalis, T. inconspicua, C. krusei, S. cerevisiae, T. candida, and T. beigelii. Twenty isolates of six species were recovered from blood of which C. albicans was also the most common. Crytococcus neoformans was found causing cryptococcal meningitis being isolated from the CSF on an 8-year-old female patient. Future studied assessing the incidence of yeast infections in each homogeneous group of patients are recommended.

摘要

为了确定从一家繁忙的沙特医院就诊患者的临床标本中存在的酵母种类,开展了本研究。从1303例患有不同临床病症患者的病理标本中培养分离出了1614株以上的酵母。在八个属的22个种中鉴定出的微生物包括:白色念珠菌、近平滑念珠菌、热带念珠菌、克柔念珠菌、解脂念珠菌、季也蒙念珠菌、假热带念珠菌、皮诺托洛普念珠菌、土生念珠菌、星状念珠菌、葡萄牙念珠菌、光滑假丝酵母、隐匿假丝酵母、假丝酵母、白吉利丝孢酵母、头状丝孢酵母、酿酒酵母、新生隐球菌、浅白隐球菌、黏红酵母、异常汉逊酵母和魏氏原藻。文中列出了培养出这些酵母的标本类型的详细信息。最常分离出的酵母是白色念珠菌,其次是光滑假丝酵母、近平滑念珠菌、热带念珠菌、隐匿假丝酵母、克柔念珠菌、酿酒酵母、假丝酵母和白吉利丝孢酵母。从血液中分离出了六个种的20株菌株,其中白色念珠菌也是最常见的。发现新生隐球菌导致一名8岁女性患者患隐球菌性脑膜炎,该菌从脑脊液中分离得到。建议未来开展研究评估各同类患者群体中酵母感染的发生率。

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