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隐球菌,新型

隐球菌,新型的相关文献在2001年到2021年内共计68篇,主要集中在内科学、基础医学、皮肤病学与性病学 等领域,其中期刊论文68篇、专利文献809175篇;相关期刊32种,包括国际流行病学传染病学杂志、国际检验医学杂志、医学临床研究等; 隐球菌,新型的相关文献由217位作者贡献,包括廖万清、温海、姚志荣等。

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隐球菌,新型—发文趋势图

隐球菌,新型

-研究学者

  • 廖万清
  • 温海
  • 姚志荣
  • 欧启水
  • 任大明
  • 刘维达
  • 江凌
  • 陈江汉
  • 冯晓博
  • 徐红
  • 期刊论文
  • 专利文献

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    • 王迪; 黄劲; 姚昌昊; 王梅竹; 程敏; 郭鑫瑶; 廖万清; 康颖倩
    • 摘要: 目的 探讨不同品系小鼠侵袭性真菌感染动物模型的构建方法.方法 取白念珠菌ATCC10231 T菌株(标准菌株)、GYWu27菌株[临床艾滋病(AIDS)病人来源)、GYF76菌株[临床外阴阴道念珠菌病(VVC)病人来源]、N110菌株(健康人来源)及新生隐球菌H99 T菌株(标准菌株)培养至对数生长期,离心重悬于无菌盐水中,采用分光光度法及细胞计数板调整菌液浓度至所需浓度;4~6周龄SPF级KM小鼠和Balb/c小鼠各30只,随机均分为5组,分别注射浓度1×106、1×107、1×108、1×109及1×1010 CFU/L白念珠菌ATCC10231T菌株,观察14 d内小鼠的死亡速率筛选侵袭性真菌感染的最适浓度;取4~6周龄SPF级KM小鼠和Balb/c小鼠各50只,随机均分为GYWu27组、GYF76组、N110组、H99T组及生理盐水(Saline)组,各菌株感染组小鼠经侧尾静脉注射最适浓度菌液感染、Saline组小鼠注射Saline,记录各组小鼠30 d内的一般状态、体质量及90 d内的生存情况;取GYWu27组、GYF76组及N110组死亡小鼠的肾脏、H99 T组小鼠脑组织及定期分批处死的Saline组小鼠肾脏和脑组织分别制作组织匀浆、稀释后接种于含0.05%氯霉素葡萄糖琼脂培养基(SDA)、检测肾脏和脑组织的真菌负荷量,接种于SDA、酵母浸出粉胨葡萄糖培养基(YPD)鉴定分离后菌株;取GYWu27组、GYF76组、N110组两种系小鼠肾脏、肝脏及H99 T组两种系小鼠的肾脏、肝脏及脑组织,制作组织切片,观察组织学特征.结果 侵袭性真菌感染动物模型Balb/c小鼠和KM小鼠的最适感染浓度分别为1×108 CFU/L和1×109 CFU/L;相同实验条件下,感染后KM小鼠一般状态较Balb/c小鼠好,白念珠菌及新生隐球菌感染的KM小鼠30 d内的体质量变化明显;白念珠菌和新生隐球菌体外培养菌株及感染小鼠体内分离菌株的培养特性无差异;白念珠菌感染的Balb/c小鼠靶器官真菌负荷量明显高于KM小鼠;新生隐球菌感染小鼠病变集中于脑组织,白念珠菌感染小鼠病变集中在肾脏.结论 采用静脉感染方式、以1×108 CFU/L白念珠菌和1×109 CFU/L新生隐球菌分别感染Balb/c小鼠和KM小鼠,可构建稳定的侵袭性真菌感染动物研究模型.
    • 王迪; 黄劲; 姚昌昊; 王梅竹; 程敏; 郭鑫瑶; 廖万清; 康颖倩
    • 摘要: 目的探讨不同品系小鼠侵袭性真菌感染动物模型的构建方法。方法取白念珠菌ATCC10231 T菌株(标准菌株)、GYWu27菌株[临床艾滋病(AIDS)病人来源]、GYF76菌株[临床外阴阴道念珠菌病(VVC)病人来源]、N110菌株(健康人来源)及新生隐球菌H99^(T)菌株(标准菌株)培养至对数生长期,离心重悬于无菌盐水中,采用分光光度法及细胞计数板调整菌液浓度至所需浓度;4~6周龄SPF级KM小鼠和Balb/c小鼠各30只,随机均分为5组,分别注射浓度1×10^(6)、1×10^(7)、1×10^(8)、1×10^(9)及1×10^(10) CFU/L白念珠菌ATCC10231 T菌株,观察14 d内小鼠的死亡速率筛选侵袭性真菌感染的最适浓度;取4~6周龄SPF级KM小鼠和Balb/c小鼠各50只,随机均分为GYWu27组、GYF76组、N110组、H99^(T)组及生理盐水(Saline)组,各菌株感染组小鼠经侧尾静脉注射最适浓度菌液感染、Saline组小鼠注射Saline,记录各组小鼠30 d内的一般状态、体质量及90 d内的生存情况;取GYWu27组、GYF76组及N110组死亡小鼠的肾脏、H99^(T)组小鼠脑组织及定期分批处死的Saline组小鼠肾脏和脑组织分别制作组织匀浆、稀释后接种于含0.05%氯霉素葡萄糖琼脂培养基(SDA)、检测肾脏和脑组织的真菌负荷量,接种于SDA、酵母浸出粉胨葡萄糖培养基(YPD)鉴定分离后菌株;取GYWu27组、GYF76组、N110组两种系小鼠肾脏、肝脏及H99^(T)组两种系小鼠的肾脏、肝脏及脑组织,制作组织切片,观察组织学特征。结果侵袭性真菌感染动物模型Balb/c小鼠和KM小鼠的最适感染浓度分别为1×10^(8) CFU/L和1×10^(9) CFU/L;相同实验条件下,感染后KM小鼠一般状态较Balb/c小鼠好,白念珠菌及新生隐球菌感染的KM小鼠30 d内的体质量变化明显;白念珠菌和新生隐球菌体外培养菌株及感染小鼠体内分离菌株的培养特性无差异;白念珠菌感染的Balb/c小鼠靶器官真菌负荷量明显高于KM小鼠;新生隐球菌感染小鼠病变集中于脑组织,白念珠菌感染小鼠病变集中在肾脏。结论采用静脉感染方式、以1×10^(8) CFU/L白念珠菌和1×10^(9) CFU/L新生隐球菌分别感染Balb/c小鼠和KM小鼠,可构建稳定的侵袭性真菌感染动物研究模型。
    • 唐辛; 万天意; 何玉麟
    • 摘要: cqvip:患者女,43岁,10余天前无明显诱因出现头痛,伴呕吐、发热;既往体健。查体未见明显异常。实验室检查:甲胎蛋白1.78 ng/ml,癌胚抗原0.98 ng/ml,糖类抗原19-9为7.70 U/ml,糖类抗原12-5为42.80 U/ml。头部MRI:双侧大脑半球灰白质交界区见多发长T1、稍长T2结节,双侧基底节区见囊状长T1、长T2结节,于弥散加权成像(diffusion weighted imaging,DWI)(b=1000 s/mm 2)中呈低信号(图1A),表观弥散系数(apparent diffusion coefficient,ADC)升高(图1B);增强后不规则环形强化,部分均匀强化(图1C);考虑转移瘤可能性大。胸部CT:右肺下叶外基底段见球形病灶(图1D),边缘分叶,增强后轻度强化;考虑肺癌可能性大。
    • 李鑫; 赵旭; 郑建铭; 李谦
    • 摘要: 目的 采用耳窥镜直视下气管插管法构建小鼠新型隐球菌肺炎合并脑膜炎模型.方法 20只雄性C57BL/C小鼠分为正常对照组和感染组,每组均为10只,实验当日小鼠在耳窥镜直视下行气管插管后,感染组沿气管内插管注射10μL新型隐球菌,正常对照组沿气管内插管注射10μL氯化钠溶液,在注射细菌后的0 h、第3、5、7和10天观察小鼠一般情况和体质量,于0 h每组处死3只小鼠,第10天处死剩余小鼠,进行小鼠肺脏、肝脏、脾脏和脑组织等组织菌落计数和肺、脑组织病理检查以判断肺炎合并脑膜炎模型是否构建成功.结果 感染组10只小鼠行耳窥镜直视下气管插管,均获成功,无小鼠插管后死亡.沿气管内插管注射菌液浓度为2.0×109菌落形成单位(colony-forming units,CFU)/Ml,气管插管后0 h处死小鼠取肺并定量,其菌落计数为(7.84±0.13)lg CFU/g.2组小鼠观察至感染后10 d,均无小鼠死亡.第10天小鼠肺内菌量平均值达到(8.11±0.81)lg CFU/g,与0 h比较略有增加,第10天小鼠脑组织内菌量达到(4.84±0.21)lg CFU/g.病理结果提示支气管、肺泡及间质内见大量隐球菌,脑实质内见灶性隐球菌浸润.结论 采用耳窥镜直视下气管插管法成功构建了小鼠新型隐球菌肺炎合并脑膜炎模型,方法操作简便,成功率高.
    • 鲁雁秋; 邱丹; 陈耀凯
    • 摘要: 新型隐球菌性脑膜炎(CNM)是艾滋病患者中最常见的机会性感染和死亡原因之一.综合治疗是降低病死率的关键,主要包括抗真菌治疗、抗反转录病毒治疗和颅内压管理.近年来,相关研究在上述各治疗环节上均取得了一定进展,本文将从这个三方面进行系统综述.%Cryptococcus neoformans meningitis is one of the most common opportunistic infections and causes of death in acquired immunodeficiency syndrome(AIDS)patients with HIV infection. Comprehensive treatment is the key to reduce the mortality rate of AIDS patients with Cryptococcus neoformans meningitis,which includes antifungal treatment, antiretroviral therapy and intracranial pressure management.This article reviews the current status and advanced of comprehensive therapy for Cryptococcus neoformans meningitis in AIDS patients.
    • 陈智瑾; 宰淑蓓; 曹宇硕; 金鑫; 蔡金凤; 郑江花
    • 摘要: Objective To investigate strain distribution and antifungal susceptibility of fungus isolates from acquired immune deficiency syndrome (AIDS ) patients of Shanghai public health clinic center .Methods The funus isolates from clinical specimens of in‐hospital AIDS patients in our hospital between January 2010 and December 2014 were retrospectively analyzed . Results Of the 3 155 hospitalized patients with human immunodeficiency virus (HIV)/AIDS ,a total of 11 291 fungus culture specimens were collected ,of which 1 786 (15 .82% ) were positive .Nine hundred and seventy‐nine fungus strains were isolated ,which were identified as 27 species or genus .The most common isolates were Candidaalbicans (503),Candida tropicalis (60),Candida glabrata (48),Candida krusei (41), Cryptococcus neoformans (179) and Penicillium marnef fei (59) .The majority positive samples were from respiratory tract (61 .29% ) ,followed by the feces (13 .28% ) ,cerebrospinal fluid (11 .24% ) and blood (11 .13% ) .The positive isolation rate of sterile tissue specimens (mainly blood and cerebrospinal fluid) was 6 .92% (558/8 052 ) , and 96 .24% (537/558 ) of the isolated fungi were Cryptococcus neoformans and Penicillium marnef fei .The drug susceptibility rate of Candida to five antifungal drugs commonly used in clinical (amphotericin B ,5‐fluorine cytosine ,fluconazole ,itraconazole ,voriconazole) were 100 .00% ,91 .67% ,83 .33% ,70 .83% and 83 .33% ,respectively .The drug susceptibility rate of Cryptococcus neoformans to three antifungal drugs commonly used in clinical (amphotericin B ,5‐fluorine cytosine ,fluconazole) were 96 .05% ,94 .74% and 97 .37% ,respectively .Conclusions The predominant species of fungal pathogens in AIDS patient in our hospital include Candida ,Cryptococcus neoformans and Penicillium marnef fei .The pathogen distribution of blood and cerebrospinal fluid are different .Some of Candida and Cryptococcus neoformans are resistant to the commonly used antifungal drugs .%目的:探讨上海市公共卫生临床中心艾滋病患者临床标本中真菌菌株分布及药物敏感情况。方法对2010年1月至2014年12月上海市公共卫生临床中心收治的住院艾滋病患者的临床标本中真菌分离结果进行回顾性调查分析。结果共纳入3155例研究对象,送检深部真菌培养标本11291份,真菌分离阳性标本1786份(15.82%)。分离出真菌979株,鉴定为27个种或属,最常见的为白念珠菌(503株)、热带念珠菌(60株)、光滑念珠菌(48株)、克柔白念珠菌(41株)、新生隐球菌(179株)和马尔尼菲青霉菌(59株)。979株真菌的标本来源以呼吸道标本最多(61.09%),其次是粪便(13.28%)、脑脊液(11.24%)和全血(11.13%);无菌组织标本真菌分离阳性率为6.92%(558/8052),主要来源于全血和脑脊液标本,分离的真菌中96.24%(537/558)为新型隐球菌和马尔尼菲青霉菌。药物敏感性分析显示,念珠菌对两性霉素B、5‐氟胞嘧啶、氟康唑、伊曲康唑、伏立康唑的药物敏感性依次为100.00%、91.67%、83.33%、70.83%和83.33%,新生隐球菌对两性霉素B、5‐氟胞嘧啶及氟康唑的敏感性依次为96.05%、94.74%和97.37%。结论上海地区艾滋病患者重要的致病真菌有念珠菌、新生隐球菌及马尔尼菲青霉菌,全血和脑脊液标本病原菌的分布存在特殊性。念珠菌和新生隐球菌对常用抗真菌药物有不同程度耐药。
    • 何慧; 何松哲; 陈懿; 张卫英; 余道军
    • 摘要: 目的 比较不同方法提取真菌基因组DNA的优劣,寻找一种用于PCR扩增的快速、高效的真菌DNA提取方法.方法 分别用加热裂解法、微波法、反复冻融法、溶壁酶法、蜗牛酶法和试剂盒法提取浙江中医药大学附属杭州第一医院保存的马尔尼菲青霉、小孢根霉、新型隐球菌和白假丝酵母菌DNA,在凝胶成像系统下观察基因组DNA电泳图.采用超微量核酸蛋白测定仪测定基因组DNA的浓度和纯度,并计算产率;同时对提取的基因组DNA进行PCR扩增并测序.采用方差分析和SNK-q检验比较不同方法所得基因组DNA浓度和产率.结果 6种方法提取马尔尼菲青霉(霉菌相和酵母相)、小孢根霉、新型隐球菌和白假丝酵母菌所得DNA浓度和产率差异均存在统计学意义(F=750.83,220.95,669.35,132.01,510.20和1658.35,287.10,963.64,1147.77,4521.22,P值均<0.01),且微波法所得真菌DNA浓度和产率最高,加热裂解法次之,试剂盒法最低.所有方法所得DNA经PCR扩增均出现阳性条带.结论 6种方法均可成功提取真菌基因组DNA,微波法和加热裂解法操作简便,所得真菌基因组DNA模板能够满足临床实验室PCR扩增需求.%Objective To identify a rapid and efficient fungal genomic DNA extraction method for PCR amplification.Methods Genomic DNA was extracted from Penicillum marneffei,Rhizopus microsporus,Cryptococcus neoformans and Candida albicans by heating pyrolysis,microwave,repeated freezing and thawing,lysozyme digestion,overnight snail enzymatic and Qiagen kit methods.DNA electrophoretogram was observed by gel imaging system.The concentration and purity of extracted DNA were determined with an ultramicro nucleic acid protein tester and the yields were calculated.PCR amplification and sequencing were also performed.ANOVA and SNK-q test were used for data analysis.Results There were statistical differences in concentrations and yields of the fungal DNA extracted from Penicillum marneffei (hyphal phase and yeast phase),Rhizopus microsporus,Coptococcus neoformans and Candida albicans by six methods (F=750.83,220.95,669.35,132.01,510.20 and 1658.35,287.10,963.64,1147.77,4521.22,all P <0.01).Of six methods,microwave method gained the highest DNA concentration and yield,followed by heating pyrolysis method,while Qiagen kit method obtained the lowest concentration and yield.All DNA extracted by 6 kinds of methods were positive in PCR amplification.Conclusion All of the six methods can be used for fungal DNA extraction which is sufficient for PCR amplification,but microwave and heating pyrolysis methods are more easy and simple to perform.
    • 李莎; 宋晓玲; 唐早梅
    • 摘要: Objective To analyze the clinical features and prognosis of Cryptococcus neoformans meningitis.Methods Patients (n =109) with anti-HIV negative who were diagnosed as having Cryptococcus neoformans meningitis were enrolled.The epidemiological data,clinical manifestations,laboratory examination,treatments and outcomes were analyzed.Results The main clinical manifestations of patients with Cryptococcus neoformans meningitis were severe headache,fever,increased intracranial pressure,and positive meningeal stimulation.Of 109 patients,9.2% had basic disease,19.3% had dove and poultry exposure history,61.4% lived in eucalyptusplanting area.All patients showed increase in intracranial pressure,with 37.6% higher than 330 mm H2O (1mmH2O=0.098 kPa).Ink staining smear for Cryptococcus neoformans showed a positive rate of 67.0% for the first time and 100.0% positive after repeated lookup.Cerebrospinal fluid culture detected 89.0% positive of Cuptococcus neoformans.The total therapeutic efficiency was 85.3% (93/109) with a mortality of 14.7%(16/109).Conclusions Patients with fever,severe headache and intracranial pressure increased should be considered as having cryptococcal meningitis if they have a dove exposure history or live in eucalyptus-planting area.Once the diagnosis is made,measures like active control of intracranial pressure and administration of full dose and course of antifungal drugs should be taken to improve the cure rate and reduce the fatality rate.%目的 了解HIV阴性新型隐球菌性脑膜炎患者的临床特征及其治疗转归.方法 回顾性分析109例抗-HIV阴性的新型隐球菌性脑膜炎患者的流行病学资料、临床表现、实验室检查、治疗及预后的情况.结果 109例新型隐球菌性脑膜炎患者中,临床表现以剧烈头痛、发热、颅内压升高、脑膜刺激征阳性为主.患者中有基础性疾病者占9.2%.发病前有鸽子接触史者占19.3%,桉树富植区居住史者占61.4%.所有患者颅内压均升高,其中37.6%超过330 mmH2O(1mmH2O=0.098 kPa).首次墨汁染色涂片找隐球菌阳性率67.0%,经多次反复查找涂片阳性率100.0%;脑脊液培养隐球菌阳性率89.0%.治疗总有效率为85.3%(93例),病死率14.7%(16例).结论 对发热、剧烈头痛及颅内压升高,且有鸽子接触史或桉树种植区居住史的患者应考虑新型隐球菌性脑膜炎的可能,一旦诊断应积极控制颅内压,同时给予足量、足疗程的抗真菌药物以提高疗效和降低病死率.
    • 常艳宇; 胡学强
    • 摘要: 近年来新型隐球菌性脑膜炎和(或)脑炎发病率呈逐年上升趋势,因发病隐匿、症状缺乏特异性,故易误诊.经对近年来国内外相关文献总结,笔者认为,对于临床表现为头痛、发热、脑膜刺激征等疑似症状的患者,应反复多次行脑脊液细胞涂片、乳胶凝集试验和影像学检查,尽早明确诊断.对于诊断明确的患者应采用联合、长期抗真菌药物治疗方案,必要时积极采取外科手术治疗,改善患者预后.
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