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类鼻疽分子诊断学:最新进展

Melioidosis molecular diagnostics: An update.

作者信息

Gangil Prachi, Paul Manash K, B Prathyoosha, Mondal Debadrita, Kumari Sneha, Prasad P R, K E Vandana, Bisht Bharti, Mukhopadhyay Chiranjay

机构信息

Department of Microbiology, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.

Department of Radiation Biology and Toxicology, Manipal School of Life Sciences, Manipal Academy of Higher Education, Manipal, India.

出版信息

Virulence. 2025 Dec;16(1):2505698. doi: 10.1080/21505594.2025.2505698. Epub 2025 Jun 14.

DOI:10.1080/21505594.2025.2505698
PMID:40515758
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12169043/
Abstract

Melioidosis, a fatal tropical disease, presents a wide array of clinical manifestations, including abscesses, pneumonia, septic shock, bacteraemia, osteomyelitis, septic arthritis, and skin infection. The Centers for Disease Control and Prevention (CDC) has classified (), a gram-negative bacterium found in soil, as a Tier 1 select agent. Referred to as the "great mimicker," this organism can infect several organs imitating the symptoms of different illnesses. According to worldwide data, there are around 165,000 cases and 89,000 deaths annually. Current diagnostic procedures rely primarily on culturing , are slow and have low sensitivity, resulting in delayed treatment and higher fatality rates. This review examines the substantial difficulties related to diagnosing melioidosis in response to the urgent need for precise and prompt diagnosis. We have summarized the results of diagnostic kits that are currently sold in the market and assessed the market for melioidosis diagnostic kits.

摘要

类鼻疽是一种致命的热带疾病,临床表现多种多样,包括脓肿、肺炎、感染性休克、菌血症、骨髓炎、化脓性关节炎和皮肤感染。美国疾病控制与预防中心(CDC)已将在土壤中发现的革兰氏阴性菌——类鼻疽杆菌列为一级选择生物制剂。这种微生物被称为“超级模仿者”,它可以感染多个器官,模仿不同疾病的症状。根据全球数据,每年约有16.5万例病例和8.9万例死亡。目前的诊断程序主要依赖于类鼻疽杆菌培养,速度慢且灵敏度低,导致治疗延迟和死亡率较高。鉴于迫切需要精确和快速的诊断,本综述探讨了与类鼻疽诊断相关的重大困难。我们总结了目前市场上销售的诊断试剂盒的结果,并评估了类鼻疽诊断试剂盒的市场情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c34d/12169043/db3771141c84/KVIR_A_2505698_F0007_OC.jpg
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本文引用的文献

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SAGE Open Med Case Rep. 2024 Aug 12;12:2050313X241271780. doi: 10.1177/2050313X241271780. eCollection 2024.
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Bacterial extracellular vesicles: biotechnological perspective for enhanced productivity.细菌细胞外囊泡:提高生产力的生物技术视角。
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Benchmarking CRISPR-BP34 for point-of-care melioidosis detection in low-income and middle-income countries: a molecular diagnostics study.
在中低收入国家进行床边检测的 CRISPR-BP34 基准测试:一项分子诊断研究。
Lancet Microbe. 2024 Apr;5(4):e379-e389. doi: 10.1016/S2666-5247(23)00378-6. Epub 2024 Mar 13.
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A Case Report of Whitmore's Disease: A True Masquerader.类鼻疽病病例报告:一个真正的伪装者。
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Improving the clinical recognition, prognosis, and treatment of melioidosis through epidemiology and clinical findings: The Sabah perspective.通过流行病学和临床发现改善类鼻疽的临床识别、预后和治疗:沙巴视角。
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