Haase G, Skopnik H, Groten T, Kusenbach G, Posselt H G
Institut für Medizinische Mikrobiologie, RWTH Aachen.
Mycoses. 1991;34 Suppl 1:49-52.
Mycological examination of sputum from 121 patients with cystic fibrosis by means of long-term culture (4 weeks) revealed the occurrence of Candida albicans in low quantities in 70%, Aspergillus fumigatus in 30%, and Exophiala/Wangiella dermatitidis in 9% of the examined patients. A. fumigatus causes frequently the development of allergic bronchopulmonary aspergillosis in patients with cystic fibrosis. The predisposing factors for colonization with the otherwise seldom recovered fungus E. dermatitidis in these patients and the consequences of these findings are discussed. In conclusion, long-term fungal cultures are advocated for specimens from CF patients.
通过长期培养(4周)对121例囊性纤维化患者的痰液进行真菌学检查发现,70%的受检患者痰液中少量存在白色念珠菌,30%存在烟曲霉,9%存在皮炎外瓶霉/万吉外瓶霉。烟曲霉常导致囊性纤维化患者发生变应性支气管肺曲霉病。本文讨论了这些患者中原本很少分离出的真菌——皮炎外瓶霉定植的易感因素以及这些发现的后果。总之,提倡对囊性纤维化患者的标本进行长期真菌培养。