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[对患有血液病和实体瘤的住院儿童进行的真菌学长期检查]

[Mycological long-term examinations in hospitalized children with haemoblastoses and solid tumours].

作者信息

Blaschke-Hellmessen R, Rönisch P, Schäfer B

出版信息

Z Gesamte Inn Med. 1981 May 15;36(10):310-7.

PMID:6946643
Abstract

In 54 children with haemoblastoses and solid tumours and 136 healthy children as control group in long-term examinations lasting several months the yeast infection was quantitatively established in the faeces and in the urine as well as coarsely quantitatively in the oral cavity and by means of cell agglutination antibodies against Candida albicans were proved. With 77.8% the ill children were significantly more frequently infested by Candida albicans than the healthy children with 38.2%. In the faeces the Candida albicans infection reached values of more than 10(7) cells/g. This size of infection in patients with leucosis in the stage of the primary disease or a recidivation occurred significantly more frequently than in patients in full remission. With high quantities of Candida albicans in the faeces clinical symptoms of aphthous stomatitis (in 31.5% of the patients), findings of fungi in the urine (in altogether 29.6% of the patients) and increased antibody titres up to 1 : 2 048 were concomitant. A permanent mycological control and aimed antimycotic treatment are recommended for children with malignant diseases.

摘要

在54例患有血液病和实体瘤的儿童以及136例作为对照组的健康儿童中,进行了为期数月的长期检查,定量测定了粪便和尿液中的酵母菌感染情况,并大致定量了口腔中的酵母菌感染情况,同时通过细胞凝集法检测出了抗白色念珠菌的抗体。患病儿童白色念珠菌感染率为77.8%,显著高于健康儿童的38.2%。粪便中白色念珠菌感染量达到每克超过10(7)个细胞。白血病患者在原发性疾病阶段或复发期出现这种感染程度的频率明显高于完全缓解期的患者。粪便中白色念珠菌数量较多时,会伴有口疮性口炎的临床症状(31.5%的患者)、尿液中真菌检测结果(共29.6%的患者)以及抗体滴度升高至1:2048。建议对患有恶性疾病的儿童进行长期真菌学监测并进行针对性抗真菌治疗。

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