双间柱顶孢的研究进展

双间柱顶孢是一种暗色真菌,能感染植物和人类。主要存在于热带、亚热带地区。世界各地均有散在报道,泰国的感染最高,但我国很少有报道。为进一步认识该菌,现就双间柱顶孢的分类和命名学的研究进展、流行病学现状、形态特点、生物化学、致病性及治疗等情况进行综述。     

Extracellular proteases ofHendersonula toruloidea Scytalidium hyalinum andScytalidium japonicum

Proteolytic activity was demonstrated in all the six clinical isolates ofHendersonula toruloidea, five ofScytalidium hyalinum and one ofS. japonicum, screened, by using bovine serum albumin as the substrate. Assay of crude enzyme filtrates showed that enzyme activity increased with the age of the organism reaching a peak after twelve days of growth. The optimum temperature and pH for maximal enzyme activity were 37 °C and 5.6 respectively. The maximum dry weight of mycelia recorded wereH. toruloidea, 135 mg;S. hyalinum, 100 mg; andS. japonicum 103 mg/50 ml broth after 22 days of growth. Proteases may play a role in the pathogensis of infection caused by these fungi by hydrolyzing keratinized tissues such as stratum corneum and nails of humans.     

Purification and some properties of a starch debranching enzyme ofHendersonula toruloidea

An extracellular, debranching isoamylase fromHendersonula toruloidea ATCC 64930, grown on starch, was purified 12-fold to an electrophoretically homogeneous state. The purified enzyme (estimated mol wt 83000) was optimally active at pH 6.0 and 50°C and remained active when held at 70°C (30 min) and at pH 6 to 8 for 24 h. Na⁺, Fe²⁺ and Ba²⁺ (at 5mm) enhanced enzyme activity while Hg²⁺, Zn²⁺ and Cu²⁺ (at 5mm) were inhibitory. The enzyme hydrolysed amylopectin (Km, 0.25 mg/ml), forming maltose, maltotriose and maltotetraose and hydrolyzed glycogen (Km, 0.29 mg/ml) and soluble starch (Km, 0.42 mg/ml) forming maltotriose and maltotetraose. Pullulan was not hydrolyzed.     

主要医院感染病原菌与社区感染株耐药性比较

目的比较主要医院感染(HAI)病原菌与社区感染(CAI)株的耐药性,指导合理使用抗菌药物。方法收集永康市第一人民医院2003年1月至2006年6月所有标本中分离的主要HAI菌及其CAI株,分别统计其药物敏感试验。采用美国Dade Behring Microscan Walkaway 40全自动细菌鉴定及药敏测试仪及其配套药敏鉴定板测定MIC值。全国医院感染监测网软件和χ2统计分析。结果主要HAI菌为前4种革兰阳性(G )菌依次是金黄色葡萄球菌、表皮葡萄球菌、屎肠球菌、溶血葡萄球菌,前5种革兰阴性(G-)菌依次是大肠埃希菌、肺炎克雷伯菌、鲍曼不动杆菌、铜绿假单胞菌、阴沟肠杆菌。HAI株耐药率普遍高于CAI株,不同的细菌耐药率各具特点。不论HAI株还是CAI株,G 菌对万古霉素的耐药率最低,G-菌对亚胺培南的耐药率均较低,且两者耐药率差异均无显著性。金黄色葡萄球菌、大肠埃希菌、肺炎克雷伯菌、鲍曼不动杆菌4种HAI株对大多数抗菌药物的耐药率明显高于CAI株,其余5种细菌HAI株仅对少数抗菌药物的耐药率高于CAI株。结论HAI菌株耐药性比CAI菌株强,临床应区分感染性质合理使用抗菌药物,有针对性控制感染,从而减少抗菌药物的滥用和细菌耐药性的产生。     

杆状病毒在昆虫中的持续感染

杆状病毒（Baculovirus）是一类特异性感染节肢动物的环状双链DNA病毒,是野外控制害虫种群的重要生物因子,并已被开发为一种生物杀虫剂加以应用。杆状病毒感染昆虫宿主并不一定导致昆虫死亡,其持续感染（persistentinfection）在昆虫种群中普遍存在,且在某些刺激条件下,持续感染可被激活为增殖性感染并引发病毒流行病爆发。因此,杆状病毒持续感染对昆虫种群动力学以及病毒流行病学的研究具有重要意义。     

甲癣的病原学研究进展

甲真菌病是由皮肤癣菌、酵母菌及霉菌引起的甲板和甲下组织感染,皮肤癣菌是主要致病菌,其所致的甲真菌病称为甲癣.皮肤癣菌分为3个属:毛癣菌属、小孢子菌属和表皮癣菌属.随着医学真菌学基础知识的普及和真菌学诊疗水平的提高,越来越多的皮肤癣菌在甲中分离,临床上对甲癣致病真菌的正确鉴定对于制定治疗方案、评价预后以及流行病学监测等都有重要的指导意义.该文对国内外现有文献报道的甲癣的致病菌进行综述.     

某部官兵野外武装泅渡前后浅部真菌病的调查

目的 了解某部官兵平时和野外武装泅渡时浅部真菌病的发病率及病原真菌分布情况,探讨其发病原因,为采取有效的防治措施提供依据。方法 在野外武装泅渡训练前及野外武装泅渡训练2周后,均对参训官兵进行全面筛查,再取患者浅部真菌感染可能性较大的皮屑,进行真菌学的镜检及培养鉴定。结果 在896名官兵中,平时已有98例存在浅部真菌病,发病率为10．94％。其中足癣56例（57．1％）;股癣30例（36．1％）;体癣12例（12．2％）。武装泅渡时有208例发生浅部真菌病,发病率为23．21％。其中足癣有90例（43．2％）,股癣92例（44．2％）,体癣有26例（12．5％）。致病真菌主要为红色毛癣菌、须癣毛癣菌、白念珠菌等。结论 部队野外武装泅渡时参训官兵浅部真菌病的发病率较平时显著上升,可直接影响部队的训练和战斗力。     

Trichophyton simii infection in man and animals

Nine human infections due toT. simii comprising of tinea corporis (6), tinea cruris (2) and tinea capitis (1) have been reported. Human cases were having lesions typically of zoophilic contracted infections. Lesions in dogs were on nose and upper lip and were circular. All the strains showed typical and identical macro and microscopie morphology. Three isolates studied by Stockdale were negative (2) and positive (1) strains. One studied here was negative. Possible epidemiology is discussed.     

Acanthocephalan infection in man in northern Nigeria.

Acanthocephalan ova, indistinguishable from the ovoid eggs of Moniliformis moniliformis, were detected in the stools of a 45-year-old man at the University of Jos Health Clinic, Nigeria. The patient complained of general body weakness, occasional giddiness and intermittent burning sensations around the umbilicus. Successful treatment with niclosamide and the possible source of infection are communicated.     

Tiny keratotic brown lesions on the interdigital web between the toes of a healthy man caused by Curvularia species infection and a review of cutaneous Curvularia infections

A 74-year-old healthy Japanese man had noticed an itchy lesion with two tiny thick brown scales on the fourth interdigital web of his right foot 3 months earlier. The brown fungus isolated from the scales had demonstrated brown, ellipsoidal, obovoid or clavate, 3-septate conidia. Morphologically, the fungus was identified as Curvularia sp., and was differentiated from other human pathogenic species of the genus, such as C. lunata, C. pallescens, C. trifolii, C. clavata, and C. brachyspora, by molecular analysis based on the DNA sequence data. The fungus grows well on keratotic materials (hairs, nails, and callus), which indicates that it might have the ability to infect the skin surface.     

Mycoplasma pneumoniae infection and arthritis in man.

Seven patients developed arthritis after Mycoplasma pneumoniae infection. Their joint symptoms persisted for up to one year. One patient developed an articular erosion and in another rheumatoid factor was present in serum transiently. Mycoplasma infection often causes ill-defined arthralgias and myalgias, but the migratory polyarthropathy of middle-sized joints that occurred in these patients is much less common. The prognosis seems to be good.     

The relative contribution of co-infection to focal infection risk in children

Co-infection is ubiquitous in people in the developing world but little is known regarding the potential for one parasite to act as a risk factor for another. Using generalized linear mixed modelling approaches applied to data from school-aged children from Zanzibar, Tanzania, we determined the strength of association between four focal infections (i.e. Ascaris lumbricoides, Trichuris trichiura, hookworm and self-reported fever, the latter used as a proxy for viral, bacterial or protozoal infections) and the prevalence or intensity of each of the helminth infections. We compared these potential co-infections with additional risk factors, specifically, host sex and age, socioeconomic status and physical environment, and determined what the relative contribution of each risk factor was. We found that the risk of infection with all four focal infections was strongly associated with at least one other infection, and that this was frequently dependent on the intensity of that other infection. In comparison, no other incorporated risk factor was associated with all focal infections. Successful control of infectious diseases requires identification of infection risk factors. This study demonstrates that co-infection is likely to be one of these principal risk factors and should therefore be given greater consideration when designing disease-control strategies. Future work should also incorporate other potential risk factors, including host genetics which were not available in this study and, ideally, assess the risks via experimental manipulation.