Chariyalertsak S, Vanittanakom P, Nelson K E, Sirisanthana T, Vanittanakom N
Department of Community Medicine, Faculty of Medicine, Chiang Mai University, Thailand.
J Med Vet Mycol. 1996 Mar-Apr;34(2):105-10.
The incidence of Penicillium marneffei infection has increased substantially, especially in persons with HIV infection. Very little is known about the natural reservoirs or animal hosts of P. marneffei. This pathogenic fungus was first isolated from a species of bamboo rat (Rhizomys sinensis) in Vietnam and later from another rodent species, R. pruinosus. We studied a total of 75 captured bamboo rats; P. marneffei could be isolated from the internal organs of 13 of 14 (92.8%) of large bamboo rats, R. sumatrensis, and of 3 of 10 reddish-brown small bay bamboo rats, Cannomys badius (30%). All 51 greyish-black C. badius were negative on culture. Among R. sumatrensis, P. marneffei were frequently recovered from the lungs (85.7%), spleen (50%) and liver (28.6%). Of the 28 soil samples collected from the bamboo rat burrows and the 67 from the residential areas of patients with P. marneffei infection, P. marneffei was isolated from one soil sample collected from a burrow of R. sumatrensis. The mycological characteristics of P. marneffei isolates from bamboo rats and humans were very similar. Our data indicate that R. sumatrensis and C. badius may be important animal hosts of P. marneffei in northern Thailand.
马尔尼菲青霉感染的发病率已大幅上升,尤其是在艾滋病毒感染者中。关于马尔尼菲青霉的自然储存宿主或动物宿主,人们知之甚少。这种致病真菌最初是在越南从一种竹鼠(中华竹鼠)中分离出来的,后来又从另一种啮齿动物,即霜背大鼠中分离出来。我们总共研究了75只捕获的竹鼠;在14只大竹鼠(马来亚竹鼠)中的13只(92.8%)以及10只红棕色小竹鼠(针毛鼠)中的3只(30%)的内脏中可分离出马尔尼菲青霉。所有51只灰黑色针毛鼠的培养结果均为阴性。在马来亚竹鼠中,马尔尼菲青霉常从肺(85.7%)、脾(50%)和肝(28.6%)中分离出来。从竹鼠洞穴收集的28份土壤样本以及从马尔尼菲青霉感染患者居住区域收集的67份土壤样本中,仅从一份来自马来亚竹鼠洞穴的土壤样本中分离出了马尔尼菲青霉。从竹鼠和人类分离出的马尔尼菲青霉菌株的真菌学特征非常相似。我们的数据表明,在泰国北部,马来亚竹鼠和针毛鼠可能是马尔尼菲青霉重要的动物宿主。