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[酵母及酵母样微生物检测的鉴别诊断]

[Differential diagnoses for detection of yeasts and yeast-like organisms].

作者信息

Tintelnot K

机构信息

Konsiliarlabor für Kryptokokkose, Scedosporiose und importierte Systemmykosen, Robert Koch-Institut, Nordufer 20, 13353, Berlin, Deutschland,

出版信息

Pathologe. 2013 Nov;34(6):519-27. doi: 10.1007/s00292-013-1828-4.

DOI:10.1007/s00292-013-1828-4
PMID:24154753
Abstract

The differential diagnosis of yeasts or yeast-like organisms includes a series of imported and domestic fungal pathogens. The spectrum of fungal pathogens involves dimorphic fungi which may cause deep mycoses in healthy people as well as opportunistic fungi, which require predisposing factors for infection, e.g. immunosuppression or a trauma. The histology is sometimes unambiguous; however, frequently there is a great similarity between diverse fungal infections in tissues and the diagnostically decisive criteria are only obvious in a few pathogens. In addition to a classical culture technique in doubtful cases molecular biological or serological methods are necessary to confirm any suspected pathogen diagnosis.

摘要

酵母或酵母样生物体的鉴别诊断包括一系列进口和国产真菌病原体。真菌病原体的范围涉及可能在健康人群中引起深部真菌病的双相真菌以及需要感染诱发因素(如免疫抑制或创伤)的机会性真菌。组织学有时并不明确;然而,不同真菌感染在组织中常常有很大的相似性,诊断的决定性标准仅在少数病原体中明显。除了在疑难病例中采用经典培养技术外,还需要分子生物学或血清学方法来确诊任何疑似病原体诊断。

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In situ hybridization for rRNA sequences in anatomic pathology specimens, applications for fungal pathogen detection: a review.原位杂交在解剖病理学标本中 rRNA 序列的应用:真菌病原体检测的综述。
Adv Anat Pathol. 2013 May;20(3):168-74. doi: 10.1097/PAP.0b013e31828d187d.
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Adiaspiromycosis causing respiratory failure and a review of human infections due to Emmonsia and Chrysosporium spp.埃默森丝菌和枝孢菌属致呼吸衰竭并引起人类感染:综述
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Evaluation of the detection of melanin by the Fontana-Masson silver stain in tissue with a wide range of organisms including Cryptococcus.
评估包括隐球菌在内的多种生物体组织中黑色素的 Fontana-Masson 银染检测。
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Sporothrix schenckii and Sporotrichosis.申克孢子丝菌与孢子丝菌病。
Clin Microbiol Rev. 2011 Oct;24(4):633-54. doi: 10.1128/CMR.00007-11.
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Histopathologic diagnosis of fungal infections in the 21st century.21 世纪真菌病的组织病理学诊断。
Clin Microbiol Rev. 2011 Apr;24(2):247-80. doi: 10.1128/CMR.00053-10.
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Subcutaneous mycoses: chromoblastomycosis, sporotrichosis and mycetoma.皮下真菌病:着色芽生菌病、孢子丝菌病和真菌性足菌肿。
J Dtsch Dermatol Ges. 2010 Aug;8(8):619-27; quiz 628. doi: 10.1111/j.1610-0387.2010.07453.x. Epub 2010 Jun 7.
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Epidemiology of invasive mycoses in North America.北美洲侵袭性真菌病的流行病学。
Crit Rev Microbiol. 2010;36(1):1-53. doi: 10.3109/10408410903241444.
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Trichosporon mycotoxinivorans, a novel respiratory pathogen in patients with cystic fibrosis.解朊假丝酵母,囊性纤维化患者的一种新型呼吸道病原体。
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Challenges and pitfalls of morphologic identification of fungal infections in histologic and cytologic specimens: a ten-year retrospective review at a single institution.组织学和细胞学标本中真菌感染形态学鉴定的挑战与陷阱:单机构十年回顾性研究
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Coccidioides immitis: two cases of misidentified mycosis.粗球孢子菌:两例误诊的真菌病
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