el-Nassery S M, Rahmy A E, el Gebaly W M, Sadaka H A
Department of Parasitology, Faculty of Medicine, Alexandria University, Egypt.
J Egypt Soc Parasitol. 1994 Aug;24(2):285-94.
Pneumocystis carinii is a commensal protozoan which may cause pneumonia in hosts with compromised immune status and may end fatally. Since effective management of pneumocystic pneumonia depends on rapid and accurate recognition of the disease, so, the present study aims to throw lights on the best staining method for cytodiagnosis of this organism with the sequential pathological changes in the infected lungs. An immunosuppression state was induced in albino rats for 6-8 weeks then rats were sacrificed weekly & lungs were examined for infection using different stains. In stained smears, intracystic bodies have been identified using Giemsa, Papanicolaou & Toluidine blue stains. On the other hand, cysts were inspected in paraffin sections using Gomori methenamine silver nitrate (GMS) & weight gram stains. Histopathologically, in sections stained with H & E, features of Pneumocystis carinii pneumonia were obvious, foamy exudation, inflammatory infiltration formed mainly of histiocytes, plasma cells, lymphocytes, thickening of alveolar septa and lastly formation of hyaline membrane in some alveoli.
卡氏肺孢子虫是一种共生原生动物,可在免疫功能受损的宿主中引发肺炎,且可能导致致命后果。由于肺孢子虫肺炎的有效治疗取决于对该疾病的快速准确识别,因此,本研究旨在阐明针对该病原体进行细胞诊断的最佳染色方法以及感染肺部的一系列病理变化。对白化大鼠诱导免疫抑制状态6 - 8周,然后每周处死大鼠,并使用不同染色剂检查肺部是否感染。在染色涂片上,使用吉姆萨染色、巴氏染色和甲苯胺蓝染色鉴定囊内小体。另一方面,在石蜡切片中使用戈莫里六胺银染色(GMS)和韦格特革兰染色检查包囊。组织病理学上,在用苏木精和伊红染色的切片中,卡氏肺孢子虫肺炎的特征明显,有泡沫状渗出物、主要由组织细胞、浆细胞、淋巴细胞组成的炎性浸润、肺泡间隔增厚,最后在一些肺泡中形成透明膜。