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中国真菌学杂志 2015, Vol. 10  Issue (5): 299-301.

病例报告 上一篇    下一篇

红色毛癣菌致脓癣1例

石庆, 张丽, 孙毅, 陈启红, 曾同祥   

  1. 湖北省荆州市中心医院皮肤病与性病科, 荆州 434100
  • 收稿日期:2015-07-11 出版日期:2015-10-28 发布日期:2015-10-28
  • 通讯作者: 孙毅,E-mail:710514760@qq.com E-mail:710514760@qq.com
  • 作者简介:石庆,女(汉族),本科,副主任医师.E-mail:jzzxyypfk@163.com
  • 基金资助:

    国家自然科学基金(81401677)

A case of kerion caused by Trichophyton rubrum

SHI Qing, ZHANG Li, SUN Yi, CHEN Qi-hong, Zeng Tongxiang   

  1. Department of Dermatology and Venereology, Jingzhou Central Hospital, Jingzhou 434100, China
  • Received:2015-07-11 Online:2015-10-28 Published:2015-10-28

摘要:

目的 报告1例由红色毛癣菌引起的脓癣,通过病发分子鉴定明确病原菌,早期诊断并进行经验性治疗。方法 提取病发及脓液中的真菌DNA,进行ITS区扩增、测序和比对;同时,对病发和脓液进行真菌镜检及培养,对培养阳性菌落进行形态学、分子生物学鉴定以及体外药敏检测。结果 病发和脓液DNA提取及ITS区鉴定提示红色毛癣菌;真菌镜检阴性;真菌培养经形态学和分子生物学鉴定提示红色毛癣菌。体外药物敏感性检测显示其对特比萘芬高度敏感。诊断为红色毛癣菌所致头癣,予口服特比萘芬125 mg/d,治疗1个月后明显改善。结论 直接提取病变组织DNA进行早期分子诊断能够能尽早明确致病菌种并指导用药。

关键词: 红色毛癣菌, 脓癣, 非培养诊断

Abstract:

Objectives We reported a girl with kerion due to Trichophyton rubrum.By molecular diagnosis of affected hairs, the pathogenic isolate was identifiedso that direct treatment could be executed.Methods As well as direct microscopic examination and fungal culture of affected hairs, fungal DNA of them was extracted, and amplification of ITS and sequencing.Results The molecular identification of affected hairs revealed T.rubrum, which was in accordance with fungal culture from the affected hairs.The patient was diagnosed as kerion due to T.rubrum and treated with oral terbinafine 125 mg per day.The lesions subsided after 1 month.Conclusion PCR-based molecular diagnosis of DNA from hair could help to identify pathogenic fungus promptly and indicate proper antifungal treatment.

Key words: T.rubrum, kerion, culture-independent diagnosis

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