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沙眼衣原体和肺炎衣原体在眼后段结构损伤中的作用

[Role of Chlamydia trachomatis and Chlamydophila pneumoniae in damage of eye posterior segment structures].

作者信息

Chepur S V, Boĭko É V, Pozniak A L, Nuralova I V, Mal'tsev D S, Suetov A A

出版信息

Zh Mikrobiol Epidemiol Immunobiol. 2012 May-Jun(3):79-82.

Abstract

AIM

Study the ability of Chlamydia trachomatis and Chlamydophila pneumoniae to damage structures of eye posterior segment, features of development of such infectious process, its morphological and clinical characteristics.

MATERIALS AND METHODS

6 rabbits with confirmed absence of C. trachomatis, C. pneumoniae were used in the study. 3 animals were infected with C. trachomatis culture and 3 animals--with C. pneumoniae culture. Subconjunctival and intravitreal mode of infectious agent introduction were used, as well as instillation of its culture into conjunctival sac. Microbiological diagnostics included microscopy with direct immunofluorescence, culture method and determination of antibody titers. Infectious process was studied by using ophthalmologic methods and histological examination. Observation period was 4 months.

RESULTS

In all the animals a development of infectious process at early stages after the infection was confirmed. Conjunctivitis symptoms, inflammatory exudation into vitreous humor, chorioretinal inflammation loci, disorders in transparency of optical media and detachment of retina were clinical manifestations. In 2 animals infected with C. trachomatis severe panuveitis was noted. In 4 animals infectious process assumed subclinical characteristics (infection with both C. trachomatis or C. pneumoniae). In pathomorphologic studies data on the ability of C. trachomatis and C. pneumoniae to cause damage to cells of retina, pigment epithelium and choroid were obtained.

CONCLUSION

C. trachomatis and C. pneumoniae may play a significant role in pathology of vitreous humor, retina, pigment epithelium and choroid.

摘要

目的

研究沙眼衣原体和肺炎衣原体损害眼后段结构的能力、这种感染过程的发展特征、其形态学和临床特征。

材料与方法

本研究使用了6只经确认无沙眼衣原体和肺炎衣原体的兔子。3只动物感染沙眼衣原体培养物,3只动物感染肺炎衣原体培养物。采用结膜下和玻璃体内注射感染因子的方式,以及将其培养物滴入结膜囊。微生物学诊断包括直接免疫荧光显微镜检查、培养方法和抗体滴度测定。通过眼科方法和组织学检查研究感染过程。观察期为4个月。

结果

在所有动物中均证实感染后早期感染过程的发展。结膜炎症状、玻璃体内炎性渗出、脉络膜视网膜炎症灶、光学介质透明度障碍和视网膜脱离为临床表现。在2只感染沙眼衣原体的动物中观察到严重的全葡萄膜炎。在4只动物中,感染过程呈现亚临床特征(沙眼衣原体或肺炎衣原体感染)。在病理形态学研究中,获得了沙眼衣原体和肺炎衣原体对视网膜、色素上皮和脉络膜细胞造成损害的能力的数据。

结论

沙眼衣原体和肺炎衣原体可能在玻璃体液、视网膜、色素上皮和脉络膜的病理学中起重要作用。

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