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通过聚合酶链反应检测慢性不规则复发性葡萄膜炎患者眼部弓形虫感染情况

Detection of ocular Toxoplasma gondii infection in chronic irregular recurrent uveitis by PCR.

作者信息

Lee Sang-Eun, Hong Sung-Hee, Lee Seong-Ho, Jeong Young-Il, Lim Su Jin, Kwon Oh Woong, Kim Sun Hyun, You Young Sung, Cho Shin-Hyeong, Lee Won-Ja

机构信息

Division of Malaria and Parasitic Diseases, Korea National Institute of Health, Korea Centers for Disease Control and Prevention, Osong, Korea.

出版信息

Korean J Parasitol. 2012 Sep;50(3):229-31. doi: 10.3347/kjp.2012.50.3.229. Epub 2012 Aug 13.

Abstract

Toxoplasma gondii is a zoonotic parasite resulting in human infections and one of the infectious pathogens leading to uveitis and retinochoroiditis. The present study was performed to assess T. gondii infection in 20 ocular patients with chronic irregular recurrent uveitis (20 aqueous humor and 20 peripheral blood samples) using PCR. All samples were analyzed by nested PCR targeting a specific B1 gene of T. gondii. The PCR-positive rate was 25% (5/20), including 5% (1) in blood samples, 25% (5) in aqueous humor samples, and 5% (1) in both sample types. A molecular screening test for T. gondii infection in ocular patients with common clinical findings of an unclear retinal margin and an inflammatory membrane over the retina, as seen by fundus examination, may be helpful for early diagnosis and treatment.

摘要

弓形虫是一种可导致人类感染的人畜共患寄生虫,也是导致葡萄膜炎和视网膜脉络膜炎的感染性病原体之一。本研究旨在通过聚合酶链反应(PCR)评估20例患有慢性不规则复发性葡萄膜炎的眼科患者(20份房水样本和20份外周血样本)的弓形虫感染情况。所有样本均通过针对弓形虫特定B1基因的巢式PCR进行分析。PCR阳性率为25%(5/20),其中血液样本阳性率为5%(1/20),房水样本阳性率为25%(5/20),两种样本类型均阳性的比例为5%(1/20)。对于眼底检查可见视网膜边缘不清和视网膜上有炎性膜等常见临床表现的眼科患者,进行弓形虫感染的分子筛查试验可能有助于早期诊断和治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f583/3428569/2ec0c748091d/kjp-50-229-g001.jpg

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