Ferreira Luiz Cláudio, Quintella Leonardo Pereira, Schubach Armando de Oliveira, Miranda Luciana de Freitas Campos, Madeira Maria de Fátima, Pimentel Maria Inês Fernandes, Vasconcellos Érica de Camargo Ferreira E, Lyra Marcelo Rosandiski, Oliveira Raquel de Vasconcellos Carvalhaes de, Menezes Rodrigo Caldas
Anatomic Pathology Service, Evandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Av. Brasil, 4365, Rio de Janeiro 21040-360, Brazil.
Laboratory of Clinical Research and Surveillance of Leishmaniasis, Evandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Av. Brasil, 4365, Rio de Janeiro 21040-360, Brazil.
Trop Med Infect Dis. 2022 Nov 1;7(11):344. doi: 10.3390/tropicalmed7110344.
New world cutaneous leishmaniasis (NWCL) is an anthropozoonosis caused by different species of the protozoan Colorimetric in situ hybridization (CISH) was shown to satisfactorily detect amastigote forms of spp. in animal tissues, yet it was not tested for the diagnosis of human NWCL. The aim of this study was to compare CISH, histopathology (HP), and immunohistochemistry (IHC) techniques to diagnose NWCL in human cutaneous lesions. The sample comprised fifty formalin-fixed, paraffin-embedded skin biopsy specimens from patients with NWCL caused by . These specimens were analyzed by CISH, using a generic probe for , IHC, and HP to assess the sensitivity of these methods by using a parasitological culture as a standard reference. Additional specimens from three patients diagnosed with cutaneous mycoses were also included to evaluate cross-reactions between CISH and IHC. The sensitivities of IHC, CISH, and HP for detecting amastigotes was 66%, 54%, and 50%, respectively. IHC, unlike CISH, cross-reacted with different species of fungi. Together, these results demonstrate that CISH may be a complementary assay for the detection of amastigote in the laboratorial diagnosis routine of human NWCL caused by (.) .
新大陆皮肤利什曼病(NWCL)是一种人兽共患病,由原生动物的不同物种引起。显色原位杂交(CISH)已被证明能令人满意地检测动物组织中的无鞭毛体形式的 spp.,但尚未对其用于诊断人类NWCL进行测试。本研究的目的是比较CISH、组织病理学(HP)和免疫组织化学(IHC)技术在诊断人类皮肤病变中的NWCL的效果。样本包括五十份来自因 引起的NWCL患者的福尔马林固定、石蜡包埋的皮肤活检标本。这些标本通过CISH进行分析,使用一种通用探针检测 ,通过免疫组织化学(IHC)和组织病理学(HP),以寄生虫学培养作为标准参考来评估这些方法的敏感性。还纳入了三名被诊断为皮肤真菌病患者的额外标本,以评估CISH和IHC之间的交叉反应。免疫组织化学(IHC)、显色原位杂交(CISH)和组织病理学(HP)检测无鞭毛体的敏感性分别为66%、54%和50%。与CISH不同,免疫组织化学(IHC)与不同种类的真菌发生交叉反应。总之,这些结果表明,在由 (.)引起的人类NWCL的实验室诊断常规中,显色原位杂交(CISH)可能是检测无鞭毛体的一种补充检测方法。
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