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[从获得性免疫缺陷综合征(艾滋病)患者中分离出的新型隐球菌菌株的特征分析]

[Characterization of Cryptococcus neoformans strains isolated from patients with acquired immunodeficiency syndrome (AIDS)].

作者信息

Garza-Garza D, Buendía-Uribe J L, Martínez-Cruz E, Argüero-Licea B

机构信息

Departamento de Microbiología, Instituto Politécnico Nacional, Mexico.

出版信息

Rev Latinoam Microbiol. 1995 Jul-Sep;37(3):273-9.

PMID:8850346
Abstract

In Mexico cryptococosis ranks third in frequency among the mycoses ocurring as complications in AIDS patients. Neither the prevalence of the two varieties of C. neoformans in these patients nor the morphological and physiological changes suffered by these strains in AIDS patients are known. A total of 60 isolates were obtained from patients with AIDS from the Hospital de Infectología, Centro Médico "La Raza" IMSS. The identity of each isolate was established by: growth at 37 degrees C, colony and microscopic characteristics, urease and phenoloxidase activity, carbon sources assimilation. The canavanine glycine-bromothymol blue agar was used to distinguish C. neoformans var. neoformans and C. neoformans var. gattii. Pathogenicity in mice was also tested. Fifty one isolates of C. neoformans var. neoformans and nine of C. neoformans var. gattii were identified. All strains grew well at 37 degrees C, urease and phenoloxidase were positive, the morphology and the auxanographic profile were variable. C. neoformans var. neoformans was more virulent in mouse than C. neoformans var. gattii. This study has confirmed the presence of the two varieties of C. neoformans in Mexico with 85% prevalence of var. neoformans and 15% of var. gattii in AIDS patients. This frequency was higher than in reports from other countries.

摘要

在墨西哥,隐球菌病在艾滋病患者并发的真菌病中发病频率位列第三。目前尚不清楚这些患者中新型隐球菌两种变种的流行情况,也不清楚这些菌株在艾滋病患者体内所经历的形态和生理变化。从墨西哥社会保障局“拉扎”医疗中心传染病医院的艾滋病患者中总共获得了60株分离株。通过以下方法确定每个分离株的身份:在37摄氏度下生长、菌落和显微镜特征、脲酶和酚氧化酶活性、碳源同化情况。使用刀豆氨酸甘氨酸-溴百里酚蓝琼脂来区分新型隐球菌新型变种和新型隐球菌格特变种。还对小鼠进行了致病性测试。鉴定出51株新型隐球菌新型变种和9株新型隐球菌格特变种。所有菌株在37摄氏度下生长良好,脲酶和酚氧化酶呈阳性,形态和营养谱各不相同。新型隐球菌新型变种在小鼠中的致病性比新型隐球菌格特变种更强。这项研究证实了墨西哥存在新型隐球菌的两种变种,在艾滋病患者中,新型变种的流行率为85%,格特变种为15%。这一频率高于其他国家的报告。

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