红色毛癣菌的生物学特性研究

目的 观察红色毛癣菌在不同温度、不同培养基上的生长和产孢情况,并对其进行分子生物学鉴定.方法 ①大培养:采用沙堡葡萄糖琼脂(SDA)和马铃薯葡萄糖琼脂(PDA)平皿,27℃、35℃黑暗培养,测量菌落直径,绘成生长曲线.②小培养(钢圈法):采用SDA、PDA、溴甲酚紫乳固体葡萄糖琼脂(BCP-MSG)、乳蜜琼脂(M)和复合维生素B(VitB)培养基,27℃、30℃黑暗培养,观察镜下菌丝生长、孢子产生情况.③进行rDNA 18S和ITS序列测定.结果 在SDA,PDA上,27℃条件下菌落生长速度较35℃快;在5种培养基上,SDA、PDA产孢较快较多,复合维生素B培养基产孢较慢,但产生大分生孢子较多.30℃产孢更丰富.对部分菌株rDNA ITS、18S PCR扩增产物纯化后直接测序,结果在GenBank中比对、分析,相似度为98%～100%,均鉴定为红色毛癣菌.结论 SDA、PDA均为鉴定和分离红色毛癣菌的合适培养基.5种培养基均可用来刺激红色毛癣菌产孢,其中SDA、PDA产孢较早、较丰富.红色毛癣菌rDNA 18S和ITS序列测定是一种快速准确的红色毛癣菌分子生物学鉴定方法.     

误诊为头皮脓肿经抗生素及植皮治疗无效的脓癣——附2例报告

目的 报道2例误诊为头皮脓肿经长期抗生素及植皮治疗失败的须癣毛癣菌所致的脓癣病患者,分析脓肿和脓癣的鉴别要点。方法 例1为9岁男童,头皮外伤后脓肿、溃疡28d,经抗生素治疗无效,行植皮术后5d再发生脓肿溃疡。取皮损处断发行10％KOH涂片镜检、培养,发现并分离出致病真菌,沙堡弱琼脂培养基上呈白色粉状菌落,可使含尿素培养基变红,即尿素酶试验阳性,小培养见螺旋菌丝及分隔棒状大分生孢子,鉴定为须癣毛癣菌。例2为8岁女童,头顶脓肿、溃疡24d,抗感染治疗不愈而接受植皮,术后7d再发脓性丘疹。从皮损处标本中发现、分离出致病真菌,经上述方法鉴定为须癣毛癣菌。结果 2例患者结合真菌学检查和临床表现确诊为脓癣,予伊曲康唑100mg／d内服近2个月皮损均痊愈,但供皮区遗留瘢痕和色素改变。结论 真菌病原学检查是避免脓癣误诊的关键,伊曲康唑内服治疗脓癣有效、安全。     

改良CLSI M38-A方案应用于红色毛癣菌的研究进展

国内外学者将改良CLSI M38-A方案应用于红色毛癣菌时进行了改进。这些改进包括红色毛癣菌培养基为燕麦培养基、马铃薯葡萄糖琼脂（PDA）、沙堡弱葡萄糖琼脂（SDA）,接种物仅含小分生孢子,培养基为RPMI1640,接种物量为CFU/ml,培养温度为28℃,培养时间为7 d,MICs终点确定标准为MIC-0,质控菌株选择须癣毛癣菌MRL1957和红色毛癣菌MRL666。     

真菌性肉芽肿的研究进展

真菌性肉芽肿在感染性肉芽肿中占第二位。引起肉芽肿的真菌种类繁多,包括球孢子菌、组织孢浆菌、芽生菌、隐球菌、副球孢子菌、孢子丝菌、着色芽生菌、暗色丝孢菌、链格孢霉、霉菌性足分支菌、洛博芽生菌、鼻孢子菌、结合菌、斑替支孢霉等,此外红色毛癣菌、须癣毛癣菌等皮肤癣菌和白念珠菌等也可引起肉芽肿。该文综述真菌性肉芽肿的病因及发病机制、临床表现、诊断及鉴别诊断、治疗等研究进展。     

短波紫外线对几种常见浅部真菌生长的影响

目的 了解短波紫外线对几种常见浅部真菌生长的影响.方法 将红色毛癣菌、须癣毛癣菌、犬小孢子菌、絮状表皮癣菌、白念珠菌、光滑念珠菌、近平滑念珠菌、热带念珠菌、克柔念珠菌、青霉、短帚霉、枝顶孢霉接种在沙氏培养基上,按不同照射功率、不同照射距离和不同照射时间分组用紫外线灯进行照射,观察记录照射后菌落的生长情况,并在透射电镜下观察菌丝或孢子的形态结构变化.结果 犬小孢子菌、絮状表皮癣菌、白念珠菌、近平滑念珠菌、克柔念珠菌经照射后停止生长;红色毛癣菌、须癣毛癣菌、光滑念珠菌、热带念珠菌、短帚霉和枝顶孢霉在某些照射条件下可以继续生长,但生长速度减缓.结论 短波紫外线对常见浅部真菌有不同程度的杀灭和抑制作用,该作用的大小与紫外线照射强度和照射时间成正比,与照射距离成反比.     

参照CLSIM38-A方案测定皮肤癣菌临床株对4种抗真菌药物的敏感性

目的测定并比较临床分离的皮肤癣菌对4种常用抗真菌药物的敏感性,探讨CLSIM38-A方案用于皮肤癣菌药敏试验的可行性。方法实验菌株为31株临床近期分离的皮肤癣菌。其中红色毛癣菌14株,须癣毛癣菌14株,犬小孢子菌1株,铁锈色小孢子菌1株,絮状表皮癣菌1株。4种抗真菌药物为益康唑、伊曲康唑、特比萘芬、伏立康唑。采用M38-A方案微量稀释法,并适当调整试验参数进行体外抗真菌药物敏感性试验。结果红色毛癣菌和须癣毛癣菌对以上4种药物的敏感性无明显差异。犬小孢子菌、铁锈色小孢子菌、絮状表皮癣菌对所有4种抗真菌药物的敏感性都低于红色毛癣菌和须癣毛癣菌。结论M38-A方案经过调整适用于皮肤癣菌药敏试验。     

红色毛癣菌临床分离株的菌落形态和镜下结构特征再分析

目的探讨红色毛癣菌的菌落形态和镜下结构特征以及与感染部位的相关性。方法采用传统培养方法对192株红色毛癣菌进行表型分型,选取其中39株在28℃、30℃、35℃3种温度孵育6d、10d、14d时观察菌落形态和生长速度。结果192株红色毛癣菌共分离出3种表型：绒毛型、沟纹型、粉末型（或颗粒型）。在相同培养基上,28℃、30℃时菌落生长速度无显著差异（P〈0.05）,均快于35℃（P〈0.05）。在相同温度时,菌落在SDA上的生长速度快于PDA培养基。在28℃、30℃时菌落形态比较稳定,在35℃时变异较大。菌落在PDA培养基上产孢丰富,镜下显示有较多的大、小分生孢子,而在SDA培养基上只有少量的小分生孢子,几乎见不到大分生孢子。各种浅部感染均以绒毛型为主,绒毛型在手足癣中占比例最高,沟纹型在体股癣中所占比例较高,粉末型在甲癣中占的比例较高。结论红色毛癣菌的菌落形态与培养基和培养温度有关,其表型和镜下结构与感染部位均有一定的相关性。     

卡泊芬净、米卡芬净对8种皮肤癣菌体外抑菌活性的研究

目的评价棘白菌素类抗真菌药物卡泊芬净（caspofungin）、米卡芬净（micafungin）针对常见致病性皮肤癣菌的体外抗菌活性。方法参考CLSI制定的M38-A2方案。测定82株常见皮肤癣菌的最低有效浓度（minimal effective concentrations,MECs）。结果按照MEC90浓度从高到低,米卡芬净对紫色毛癣菌和断发毛癣菌的MEC90是0.25μg/mL;对犬小孢子菌、疣状毛癣菌的MEC90为0.06μg/mL;对红色毛癣菌、须癣毛癣菌、石膏小孢子菌、絮状表皮癣菌的MEC90均在0.03μg/mL。②卡泊芬净对红色毛癣菌、紫色毛癣菌和断发毛癣菌的MEC90为1μg/mL;对须癣毛癣菌、犬小孢子菌、石膏小孢子菌、絮状表皮癣菌和疣状毛癣菌的MEC90为0.5μg/mL。③根据中位数检验,米卡芬净对几种皮肤癣菌的MEC值均低于卡泊芬净的MEC值,统计学比较有显著性差异（P〈0.05）。结论米卡芬净和卡泊芬净对皮肤癣菌有较强的抑菌作用,米卡芬净的MEC值低于卡泊芬净。     

几种不同介质保藏蛙粪霉菌等真菌效果的比较研究

本文采用0.005％碳酸钙盐水、0.85％生理盐水、1％葡萄糖液以及沙氏液体培养基四种不同的保存介质,保藏蛙粪霉菌、黑曲霉菌、产黄青霉菌、红色毛癣菌、犬小孢子菌（异名羊毛状小孢子菌）、石膏样小孢子菌和许兰氏毛癣菌。每种菌的同一保存介质分别置4℃冰箱、室温及22℃温箱贮藏。结果表明,蛙粪霉菌只适于22℃温箱贮藏,经统计学处理,22℃与室温和4℃贮藏对存活时间的影响有高度显著性差异（P＜0.01）。除许兰氏毛癣菌外。其它各真菌在0．005％的碳酸钙盐水中的存活时间最长,达3～4年之久,其次为生理盐水。0．00     

紫苏、白苏的抑菌实验

用不同溶剂浸泡或处理紫苏后,进行抑菌实验,结果表明：１０％以上浓度的紫苏水浸液,１２．５％水煎液和乙醇提取液对白色念球菌、新型隐球菌以及红色毛癣菌、石膏样小孢子癣菌、絮状表皮癣菌有较好的抑菌效果。紫苏、皱紫共、白苏对真菌均有抑菌作用,但皱紫苏对绿脓杆菌、白苏对克柔氏念球菌、白色念球菌以及绿脓杆菌效果更为明显。     

儿童不典型黄癣1例报告及文献复习

报告1例由许兰毛癣菌(Trichophyton schoenleinii)引起的儿童不典型黄癣,患儿临床症状轻微,缺乏蜡黄色、碟形黄癣痂和特殊的鼠臭味等典型临床症状.病发真菌直接镜检见大量不规则菌丝,间生膨大,大小不等、形态不规则的孢子,真菌培养为许兰毛癣菌生长,经分子生物学测序鉴定证实.E-test药敏结果显示伊曲康唑、两性霉素B、卡泊芬净及伏立康唑均敏感.经口服伊曲康唑胶囊及外用2％舍他康唑乳膏治疗基本痊愈.     

Trichoderma spp. Antagonism to the Dermatophyte Trichophyton rubrum: Implications in Treatment of Onychomycosis

Onychomycosis--the dermatophytic invasion of the nail--is difficult to eradicate with drug treatment. The hyphae of the main invading pathogen, Trichophyton rubrum, are often interwoven with the nail plate, preventing effective anti-mycotic agents from reaching its growing tips. An alternative approach to treat onychomycosis may possibly be the application of a biological control agent against the pathogen. In analogy with the success of biocontrol of phytopathogenic fungi, we screened a series of commercially available Trichoderma strains for potential antagonism between Trichoderma and Trichophyton spp. A wide spectrum of antagonism capacity, ranging from effective overgrowth to no interaction was found, with Trichoderma virens NRRL 26672 being the most effective against the Trichophyton strains tested e.g. T. rubrum NCPF118. Furthermore, T. virens NRRL 26672 grown with T. rubrum NCPF118 hyphae as a carbon source, exhibited enhanced induced secretion of active extracellular chitinases and beta-glucosidases, affecting lysis and sporulation on T. rubrum NCPF118 hyphae. Growth of Trichod. virens NRRL 26672 in poor medium also resulted in secretion of antibiotics active in arresting the growth of T. rubrum NCPF118 inoculum. Our findings may open new directions for the treatment of onychomycosis, either in combination with known medications or as a new "natural" route.     

Electron microscopy of the endophyte ofAlnus glutinosa

Earlier light microscopic investigations have revealed that the endophyte ofAlnus glutinosa presents itself in three different forms. In the present study this is confirmed by electron microscopy; also, new data on the cytology of the endophyte have been obtained.The host cells are primarily infected by the hyphal form of the endophyte. A plant cell nucleus and mitochondria can be found in the infected host cells.In the majority of the infected cells, so-called vesicles develop at the tips of the hyphae. Electron micrographs show that these vesicles, as well as the hyphae, are surrounded by the host-cell cytoplasmic membrane. The endophyte cytoplasm inside the vesicles is divided in all directions by cross walls, many of which are incomplete. Plasmalemmosomes are conspicuous. Some vesicles look vigorous but others shrunken or nearly devoid of cytoplasm as if being digested.A minority of host cells situated between the vesicle-containing ones are completely filled by bacteria-like cells. These host cells, in contrast to the other ones, do not contain a nucleus nor mitochondria, nor are the endophyte cells in them enveloped by a host cell cytoplasmic membrane: these host cells are dead. Vesicles are not found in these cells.It is inferred that a living host cell exerts a stimulus on the endophyte to which the latter responds by forming vesicles at the tips of the hyphae. At a later stage the host cells digest the vesicles and the hyphae. On the other hand, if a host cell does not survive the infection, the hyphae divide into bacteria-like cells, which are not digested owing to the absence of host cytoplasm.According to the cytology of the hyphae, the endophyte is an actinomycete.The cytology of the endophyte needs further elucidation. Its plasmalemmosomes, or membranous bodies connected with the cytoplasmic membrane, are beautifully developed. The striated bodies described on p. 359 under 4) may be a new feature, which may turn up in other actinomycetes or bacteria.     

Origin and ultrastructure of intra-hyphal hyphae in Trichophyton terrestre and T. rubrum

A cell observation chamber was designed to perform continuous photomicroscopic observations of hyphal anastomosis and the origin of intra-hyphal hyphae in Trichophyton terrestre and T. rubrum. These data were correlated with ultrastructural features of intra-hyphal hyphae. Hyphal fusions occurred commonly in either species of Trichophyton when incubated alone. In T. terrestre, empty phyphal segments adjoined by live units were invaded at the septa from both directions by new hyphal ingrowth. Continuous observations revealed that the intra-hyphal hyphae subsequently anastomosed via a lateral fusion peg. Similar intra-hyphal hyphae were shown in T. rubrum. Electron microscopic studies revealed ascomycetous septa in both conventional hyphae and intra-hyphal hyphae. For the latter, the cytoplasm and wall of the inner hypha were bounded by cytoplasmic organelles and another cell wall of the outer hypha.     

不同培养基对冬虫夏草菌丝生长的影响

不同培养基对3个来源不同的冬虫夏草菌菌丝生长影响的研究结果表明,在不同培养基上,各菌株之间在菌丝萌发时间、40d菌落直径和菌落形态上表现出一定的差异。同时筛选到的最优培养基比已报道培养基的菌落生长速度快2～3倍,且菌丝为白色、粗壮,菌丝质量较优。     

Isolation of aflatoxin from Acacia and the incidence of Aspergillus flavus in the Sudan

A series of environmental and clinical isolates of Sporothrix schenckii being studied in our laboratories under standard conditions of temperature, humidity and media, displayed, in some of the isolates, large dematiaceous hyphae. The large hyphae could be seen to produce the fine hyphae associated with S. schenckii on which typical microconidia developed. Typical microconidia also developed occasionally on the large hyphae, and strands of the unusually large hyphae also were seen to form arthroconidia. Some strains formed large, thin-walled cells on thin and/or thick hyphae resembling the balloon cells seen in mature colonies of Trichophyton tonsurans.All strains which have demonstrated these various and unusual structures histopathologically produced typical sporotrichosis in laboratory animals. When reisolated from these animals, the cultures again exhibited the unusual structures, as well as those typical of S. schenckii.     

误诊2年的左上臂难辨认体癣1例

报道1例由须癣毛癣菌引起的难辨认体癣。患者女,45岁,左臂伸侧多处红斑、丘疹伴脱屑、瘙痒2a余。曾多次就医诊断不明,患处皮损取活检做病理检查倾向于＂银屑病＂但疗效不佳。刮取皮屑镜检见真菌菌丝,小培养见葡萄串状小分生孢子及螺旋菌丝,尿素酶试验阳性,毛发穿孔试验阳性,鉴定为须癣毛癣菌。经内服特比萘芬和外用萘替芬酮康唑乳膏治疗28d后皮损消退,复查真菌阴性。     

入侵植物五爪金龙根系深色有隔内生真菌的侵染特征

深色有隔内生真菌（DSE）广泛侵染华南地区外来入侵植物五爪金龙。显微观察发现五爪金龙根系具有大量的泡囊,其最显著的特征是大量脂质的富集和被分解成小脂质体,并通过透明或深色菌丝转移,说明了五爪金龙和DSE之间进行碳转移。富含脂质的泡囊可产生透明菌丝和自我复制,说明泡囊具有繁殖功能。富含脂质的泡囊和透明菌丝等非典型结构没有可分辨的或具透明的细胞壁,是活跃的真菌结构。透明菌丝和富含脂质的泡囊主要定殖在生理活性强的根组织中。深色有隔菌丝和微菌核是DSE的典型结构,主要定殖在相对不活跃的根组织中。DSE定殖于五爪金龙根的维管柱、皮层、表皮细胞和表面,同时延伸到土壤,在宿主植物和土壤之间形成连续的系统的真菌网络。根据DSE的多态性质、庞大的真菌网络和脂质的富集及其分布,探讨了DSE和入侵植物五爪金龙潜在的互惠共生关系。     

蜜环菌成熟菌索的超微结构

用光学和电子显徽镜研究了生长在木材上的蜜环菌成熟菌索的超微结构。拟薄壁组织中有线粒体、内质网、核、液泡、质膜体、核糖体和典型的桶孔隔膜等。在菌索腔中疏松组织由薄壁菌丝、厚壁菌丝和非细胞衬质物质所组成,这些菌丝除了无隔孔帽的隔孔器和分散的核仁以外,见不到其它普通的细胞器,其最明显的特征是质壁分离和质膜断裂而卷曲,似乎是处在脱水状态。一旦它们进入新的寄主,一些普通细胞器就可出现。所以,可认为这些菌丝是处于休眠状态。对蜜环菌菌索的结构和功能的关系也进行了讨论。     

Perithecial formation in Gelasinospora reticulispora III. Inhibitory effects of near-UV and blue light during the inductive dark period

Growing hyphae of Gelasinospora reticulispora required a continuousdark period prior to photoinduction of perithecia. The inductivedark period was interrupted by brief exposure of the hyphaeto white light so that the formation of perithecia no longertook place. Photosensitivity of the hyphae in terms of the light-breakeffect gradually changed during the inductive dark period. Sensitivityreached its maximum at the 18th hr of the dark period when anirradiation of 1?10⁵ ergs cm^–2 of near-UV light or 4?10⁴ergs cm^–2 of blue-light was sufficient for the light-break.Red and far-red light had no effect at all. The light-breakeffect was limited to the irradiated portion of the hyphae anddid not affect any unirradiated portions. Inhibitory effecton perithecial formation of continuous white light could betotally replaced for several days with intermittent irradiationof near-UV or blue light if given for 5 min every 4 hr. (Received December 18, 1973; )