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皮肤交链孢霉病导致血清(1-3)-β-D-葡聚糖水平升高:病例报告及文献复习。

Enhancement in serum (1-3)-β-D-glucan level by cutaneous alternariosis: A case report and literature review.

机构信息

Department of Clinical Laboratory, People's Hospital of Deyang City, Deyang, China.

出版信息

Microb Pathog. 2021 Jan;150:104703. doi: 10.1016/j.micpath.2020.104703. Epub 2020 Dec 24.

DOI:10.1016/j.micpath.2020.104703
PMID:33347963
Abstract

Contamination with the fungus Alternaria spp. is often considered to have originated from laboratory sources, which occasionally causes infection in immunocompromised patients, termed as phaeohyphomycosis. Here, we have reported a case of cutaneous alternariosis caused by Alternaria alternata. This diagnosis was based on microscopic examination and mycological culturing of patient's vesicular lesions, with the use of 5 molecular markers (namely, ITS, ATPase, Actin, rpb2, and tef1) for strain identification. We noted that Alternaria infection caused an increase in the serum level of (1-3)-β-D-glucan (BG) in the patients. To the best of our knowledge, no such finding has been reported in previously in the literature.

摘要

被链格孢菌属(Alternaria spp.)污染通常被认为来源于实验室,偶尔会导致免疫功能低下的患者感染,被称为暗色丝孢霉病。在此,我们报告了一例由链格孢菌(Alternaria alternata)引起的皮肤链格孢霉病。该诊断基于对患者水疱性病变的显微镜检查和真菌培养,并使用 5 个分子标记物(即 ITS、ATPase、肌动蛋白、rpb2 和 tef1)进行菌株鉴定。我们注意到,链格孢菌感染会导致患者血清(1-3)-β-D-葡聚糖(BG)水平升高。据我们所知,以前的文献中尚未有过这种发现。

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引用本文的文献

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Mycopathologia. 2024 Nov 20;189(6):99. doi: 10.1007/s11046-024-00903-9.
2
First Reported Case of a Clinically Nonresponsive-to-Itraconazole Isolated from a Skin Infection of a Nonimmunocompromised Patient from Romania.罗马尼亚一名非免疫功能低下患者皮肤感染分离出对伊曲康唑临床无反应的首例报告病例。
J Fungi (Basel). 2023 Aug 11;9(8):839. doi: 10.3390/jof9080839.
3
Nutritional Provision of Iron Complexes by the Major Allergen Alt a 1 to Human Immune Cells Decreases Its Presentation.
主要过敏原 Alt a 1 向人体免疫细胞提供铁复合物会降低其呈递。
Int J Mol Sci. 2023 Jul 25;24(15):11934. doi: 10.3390/ijms241511934.
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Phaeohyphomycosis in China.中国的暗色丝孢霉病。
Front Cell Infect Microbiol. 2022 Jun 13;12:895329. doi: 10.3389/fcimb.2022.895329. eCollection 2022.