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移植后人类巨细胞病毒感染的实验室及临床诊断

Laboratory and clinical diagnosis of human cytomegalovirus infection after transplantation.

作者信息

Duan Y P, Chen X Z, Zhang X, Liu D G, Xia S S

机构信息

Institute of Organ Transplantation, Tongji Medical University, Wuhan.

出版信息

J Tongji Med Univ. 1990;10(2):104-10. doi: 10.1007/BF02887871.

DOI:10.1007/BF02887871
PMID:2170668
Abstract

Urine and blood specimens from 32 recipients of allograft organ transplant were investigated for human cytomegalovirus (HCMV) by conventional cell culture, indirect immunofluorescent assay subsequent to the rapid cell culture and DNA-DNA hybridization. The results showed that the rapid cell culture technique might be the best method for rapid detection of active HCMV infection after transplantation because it possesses the advantages of simplicity, speediness, sensitiveness, and high reliability of detecting productive HCMV infection. The major symptoms were prolonged or intermittent fever unresponsive to antibiotics, dysfunction or loss of function of the transplanted organ, pulmonary infiltrates and leukopenia. As our results suggested, reactivation of a latent infection appears to be the most probable etiologic factor contributing to HCMV infection after transplantation.

摘要

采用传统细胞培养、快速细胞培养后的间接免疫荧光测定法以及DNA-DNA杂交技术,对32例同种异体器官移植受者的尿液和血液标本进行了人巨细胞病毒(HCMV)检测。结果表明,快速细胞培养技术可能是移植后快速检测活动性HCMV感染的最佳方法,因为它具有操作简单、速度快、灵敏度高以及检测HCMV增殖性感染可靠性高的优点。主要症状为抗生素治疗无效的持续性或间歇性发热、移植器官功能障碍或功能丧失、肺部浸润和白细胞减少。正如我们的结果所示,潜伏感染的激活似乎是移植后导致HCMV感染的最可能病因。

相似文献

1
Laboratory and clinical diagnosis of human cytomegalovirus infection after transplantation.移植后人类巨细胞病毒感染的实验室及临床诊断
J Tongji Med Univ. 1990;10(2):104-10. doi: 10.1007/BF02887871.
2
Low correlation of human cytomegalovirus DNA amplification by polymerase chain reaction with cytomegalovirus disease in organ transplant recipients.器官移植受者中,通过聚合酶链反应进行的人巨细胞病毒DNA扩增与巨细胞病毒疾病的低相关性。
J Med Virol. 1994 Jun;43(2):187-93. doi: 10.1002/jmv.1890430217.
3
HCMV infection in renal transplant recipients: a retrospective cohort study.肾移植受者中的人巨细胞病毒感染:一项回顾性队列研究。
New Microbiol. 2013 Oct;36(4):363-71. Epub 2013 Oct 1.
4
Reassessing the impact of cytomegalovirus infection in kidney and kidney-pancreas transplantation.重新评估巨细胞病毒感染在肾移植和肾胰联合移植中的影响。
Am J Kidney Dis. 2002 May;39(5):1088-95. doi: 10.1053/ajkd.2002.32793.
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Herpesvirus infections in hematopoietic stem cell transplant recipients seropositive for human cytomegalovirus before transplantation.移植前对人巨细胞病毒血清学阳性的造血干细胞移植受者中的疱疹病毒感染
Int J Infect Dis. 2016 May;46:89-93. doi: 10.1016/j.ijid.2016.03.025. Epub 2016 Apr 4.
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Monitoring of patients for cytomegalovirus after organ transplantation by centrifugation culture and PCR.通过离心培养和聚合酶链反应对器官移植后的患者进行巨细胞病毒监测。
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Cytomegalovirus (CMV) excretion as a factor in the severity of CMV disease in kidney and simultaneous kidney and pancreas transplantation.巨细胞病毒(CMV)排泄作为肾移植以及同期肾胰联合移植中CMV疾病严重程度的一个因素。
Transpl Int. 1992;5 Suppl 1:S26-9. doi: 10.1007/978-3-642-77423-2_8.
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[Follow-up study of human herpesvirus 6 and human cytomegalovirus infection in organ transplantation recipients].[器官移植受者中人疱疹病毒6型和人巨细胞病毒感染的随访研究]
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Search for latent cytomegalovirus in renal allografts.在同种异体肾移植中寻找潜伏性巨细胞病毒。
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Cytomegalovirus infection post-pancreas-kidney transplantation--results of antiviral prophylaxis in high-risk patients.巨细胞病毒感染胰腺-肾移植术后——高危患者抗病毒预防的结果。
Clin Transplant. 2013 Jul-Aug;27(4):503-9. doi: 10.1111/ctr.12138. Epub 2013 Jun 3.

本文引用的文献

1
Detection of human cytomegalovirus in clinical specimens by DNA-DNA hybridization.通过DNA-DNA杂交技术检测临床标本中的人巨细胞病毒。
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Detection of human cytomegalovirus in peripheral blood lymphocytes in a natural infection.自然感染中人类巨细胞病毒在外周血淋巴细胞中的检测
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Detection of cytomegalovirus in urine samples by enzyme-linked immunosorbent assay.通过酶联免疫吸附测定法检测尿液样本中的巨细胞病毒。
J Med Virol. 1985 Aug;16(4):367-73. doi: 10.1002/jmv.1890160410.
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Virological and serological diagnosis of cytomegalovirus infection in bone marrow allograft recipients.骨髓同种异体移植受者巨细胞病毒感染的病毒学和血清学诊断
J Med Virol. 1985 Aug;16(4):357-65. doi: 10.1002/jmv.1890160409.
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Rapid detection of human cytomegalovirus in the urine of humans.人类尿液中人类巨细胞病毒的快速检测。
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Rapid detection of cytomegalovirus by tissue culture, centrifugation, and immunofluorescence with a monoclonal antibody to an early nuclear antigen.通过组织培养、离心以及使用针对早期核抗原的单克隆抗体进行免疫荧光检测来快速检测巨细胞病毒。
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DNA probe technique for diagnosis of human cytomegalovirus infection.
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