Peloux Y, Quilici M
Med Trop (Mars). 1979 Jan-Feb;39(1):9-15.
Microscopic agents responsible of Mycetomas are reviewed. They may be bacteria belonging to the Actinomycetalae order (Nocardia, Actinomadura, Streptomyces) or very various fungi belonging to the classes of Adelomycetes or Ascomycetes (Madurella, Leptosphaeria, Neotestudina, etc.). Though the procedures for collecting and transporting samples are the same, direct microscopic examination gives possibility to choose among the selective culture media the most appropriate ones to isolate either fungi or Actinomycetalae. Technics of identification for the most important bacterial agents are given, but fungi can be identified in only very specialized laboratories. Immunological methods may bring valuable indications for helping diagnosis or treatment supervision.
本文综述了引起足菌肿的微观病原体。它们可能是放线菌目(诺卡氏菌属、马杜拉放线菌属、链霉菌属)的细菌,也可能是多种属于半知菌类或子囊菌纲(马杜拉菌属、小球腔菌属、新龟菌属等)的真菌。尽管样本采集和运输程序相同,但直接显微镜检查有助于在选择性培养基中选择最适合分离真菌或放线菌目的培养基。文中给出了最重要细菌病原体的鉴定技术,但真菌只能在非常专业的实验室中进行鉴定。免疫学方法可为辅助诊断或治疗监测提供有价值的线索。