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2例系统性念珠菌病的临床与免疫学研究

[Clinical and immunological study of 2 cases of systemic candidiasis].

作者信息

Prandi G, Lasagni A, Stefani B

出版信息

Boll Ist Sieroter Milan. 1976 Mar;55(71):65-72.

PMID:66059
Abstract

Two cases of chronic systemic candidiasis of the infancy are presented and their immunity in vivo and in vitro is studied. The clinical course, the negative intradermal tests to Candida extract and the absence of lymphoblastic transformation to the same antigen, suggest an immunological deficit of the cell mediated immunity. The positive response to intradermal test of bacterial antigens, the clinical recovery from infections different from Candida albicans and the positivity of the patch test to DNCB suggest the possibility of a selective immunological reponse (macrophage inability of precessing Candida albicans). The authors give a pathogenic hypothesis of the two different clinical cases (granuloma and erythematous-scaly sesions), based on the different capacity in producing MIF.

摘要

本文报告两例婴儿慢性全身性念珠菌病,并对其体内和体外免疫情况进行了研究。临床病程、对念珠菌提取物皮内试验阴性以及对同一抗原无淋巴细胞转化,提示细胞介导免疫存在免疫缺陷。对细菌抗原皮内试验呈阳性反应、从白色念珠菌以外的感染中临床康复以及对二硝基氯苯斑贴试验呈阳性,提示可能存在选择性免疫反应(巨噬细胞处理白色念珠菌的能力不足)。作者基于产生巨噬细胞移动抑制因子(MIF)的不同能力,对两种不同临床病例(肉芽肿和红斑鳞屑性皮损)提出了致病假说。

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Serological diagnosis of candidal infections.念珠菌感染的血清学诊断
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