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[巨细胞病毒。病理解剖表现及检测方法]

[Cytomegalovirus. Pathological-anatomical manifestations and detection methods].

作者信息

Drebber U, Hardt A, Dienes H-P, Odenthal M

机构信息

Institut für Pathologie, Universität Köln, Kerpener Str. 62, 50937, Köln, Deutschland.

出版信息

Pathologe. 2011 Sep;32(5):418-27. doi: 10.1007/s00292-011-1449-8.

Abstract

Human cytomegalovirus, a double-stranded DNA virus, is a member of the Herpesviridae family with high rates of transmission. Primary infection is often asymptomatic and leads to life-long latency. Reactivation may induce different organ manifestations, particularly in the setting of immunosuppression. Histopathologically, the virus can be detected by light microscopy. Different cell populations in different organs are transformed into"owl's eye" cells, which are pathognomonic. Immunohistochemistry and electron microscopy can be applied as complementary methods. Various PCR approaches in molecular pathology including nested PCR, capture probe ELISA-PCR and real time PCR confer HCMV tests high sensitivity and specificity. The present article discusses the methods of pathological diagnostic approaches and describes organ manifestations of HCMV.

摘要

人巨细胞病毒是一种双链DNA病毒,属于疱疹病毒科,传播率很高。初次感染通常无症状,并导致终身潜伏。病毒再激活可能引发不同的器官表现,尤其是在免疫抑制的情况下。在组织病理学上,可通过光学显微镜检测到该病毒。不同器官中的不同细胞群体可转变为具有病理特征性的“猫头鹰眼”细胞。免疫组织化学和电子显微镜检查可作为辅助方法应用。分子病理学中的各种聚合酶链反应(PCR)方法,包括巢式PCR、捕获探针酶联免疫吸附测定PCR和实时PCR,使巨细胞病毒检测具有高灵敏度和特异性。本文讨论了病理诊断方法,并描述了巨细胞病毒的器官表现。

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