中华皮肤科杂志
中華皮膚科雜誌
중화피부과잡지
Chinese Journal of Dermatology
2012年
2期
95-98
,共4页
庞艳华%曹双林%刘维达%沈永年%符梅%傅琳玲%吕桂霞%邵平%陈伟%王学军
龐豔華%曹雙林%劉維達%瀋永年%符梅%傅琳玲%呂桂霞%邵平%陳偉%王學軍
방염화%조쌍림%류유체%침영년%부매%부림령%려계하%소평%진위%왕학군
马拉色菌属%毛囊炎%数据收集
馬拉色菌屬%毛囊炎%數據收集
마랍색균속%모낭염%수거수집
Malassezia%Folliculitis%Data collection
目的 探讨南通和南京马拉色菌毛囊炎的易感因素及致病菌种在不同地区、不同部位马拉色菌毛囊炎中的菌种分布情况.方法 对符合病例收集纳入标准的患者进行问卷调查,取毛囊内容物进行真菌涂片、培养；并根据形态学和生理生化特征进行菌种鉴定.结果 241例临床诊断为马拉色菌毛囊炎的患者,真菌涂片204例阳性,涂片阳性率84.65％；收集标本259份,共得阳性株213株,其中马拉色菌209株,念珠菌4株(占1.54％),真菌培养阳性率82.24％.菌种鉴定:209株马拉色菌活化菌种后,可供鉴定的马拉色菌菌株186株,共检测到6个菌种的马拉色菌,其中糠秕马拉色菌111株(59.68％)、斯洛菲马拉色菌43株(23.12％)、合轴马拉色菌17株(9.14％)、球形马拉色菌9株(4.84％)、厚皮马拉色菌4株(2.15％)、钝形马拉色菌2株(1.08％).不同个体、不同部位的菌种分布:胸部、后背、腹部和面颈部以糠秕马拉色菌为主,上肢、肩部和头顶以斯洛菲马拉色菌为主,下肢均为球形马拉色菌.同一个体、不同发病部位存在不同的菌种,主要为糠秕马拉色菌合并合轴或斯洛菲马拉色菌.结论 南通和南京马拉色菌毛囊炎存在6种马拉色菌致病菌种,糠秕和斯洛菲马拉色菌是主要的致病菌种.
目的 探討南通和南京馬拉色菌毛囊炎的易感因素及緻病菌種在不同地區、不同部位馬拉色菌毛囊炎中的菌種分佈情況.方法 對符閤病例收集納入標準的患者進行問捲調查,取毛囊內容物進行真菌塗片、培養；併根據形態學和生理生化特徵進行菌種鑒定.結果 241例臨床診斷為馬拉色菌毛囊炎的患者,真菌塗片204例暘性,塗片暘性率84.65％；收集標本259份,共得暘性株213株,其中馬拉色菌209株,唸珠菌4株(佔1.54％),真菌培養暘性率82.24％.菌種鑒定:209株馬拉色菌活化菌種後,可供鑒定的馬拉色菌菌株186株,共檢測到6箇菌種的馬拉色菌,其中糠秕馬拉色菌111株(59.68％)、斯洛菲馬拉色菌43株(23.12％)、閤軸馬拉色菌17株(9.14％)、毬形馬拉色菌9株(4.84％)、厚皮馬拉色菌4株(2.15％)、鈍形馬拉色菌2株(1.08％).不同箇體、不同部位的菌種分佈:胸部、後揹、腹部和麵頸部以糠秕馬拉色菌為主,上肢、肩部和頭頂以斯洛菲馬拉色菌為主,下肢均為毬形馬拉色菌.同一箇體、不同髮病部位存在不同的菌種,主要為糠秕馬拉色菌閤併閤軸或斯洛菲馬拉色菌.結論 南通和南京馬拉色菌毛囊炎存在6種馬拉色菌緻病菌種,糠秕和斯洛菲馬拉色菌是主要的緻病菌種.
목적 탐토남통화남경마랍색균모낭염적역감인소급치병균충재불동지구、불동부위마랍색균모낭염중적균충분포정황.방법 대부합병례수집납입표준적환자진행문권조사,취모낭내용물진행진균도편、배양；병근거형태학화생리생화특정진행균충감정.결과 241례림상진단위마랍색균모낭염적환자,진균도편204례양성,도편양성솔84.65％；수집표본259빈,공득양성주213주,기중마랍색균209주,념주균4주(점1.54％),진균배양양성솔82.24％.균충감정:209주마랍색균활화균충후,가공감정적마랍색균균주186주,공검측도6개균충적마랍색균,기중강비마랍색균111주(59.68％)、사락비마랍색균43주(23.12％)、합축마랍색균17주(9.14％)、구형마랍색균9주(4.84％)、후피마랍색균4주(2.15％)、둔형마랍색균2주(1.08％).불동개체、불동부위적균충분포:흉부、후배、복부화면경부이강비마랍색균위주,상지、견부화두정이사락비마랍색균위주,하지균위구형마랍색균.동일개체、불동발병부위존재불동적균충,주요위강비마랍색균합병합축혹사락비마랍색균.결론 남통화남경마랍색균모낭염존재6충마랍색균치병균충,강비화사락비마랍색균시주요적치병균충.
Objective To investigate the predisposing factors and pathogenic fungal species of Malassezia folliculitis in different geographical areas and body sites.Methods Totally,241 patients diagnosed with Malassezia folliculitis were asked to complete a questionnaire.The content of hair follicles was obtained and subjected to fungal smear and culture examination.Fungal species were identified according to morphological,physiological and biochemical features.Results Of the 241 patients with Malassezia folliculitis,204 (84.65％) were positive for smear examination.A total of 259 specimens were collected from these patients,and fungal culture grew 213 (82.24％) strains,of which,209 belonged to Malassezia species,4 (1.54％) to Candida species.Among the 209 Malassezia strains,186 were activated and subjected to species identification which resulted in 6 species,including M.furfur (111 strains,59.68％ ),M.sloofiae (43 strains,23.12％ ),M.sympodialis (17 strains,9.14％),M.globosa (9 strains,4.84％),M.pachydermatis (4 strains,2.15％),and M.obtuse (2 strains,1.08％ ).Of the pathogenic fungi of Malassezia folliculitis,M.furfur predominated in the chest,back,abdomen,face and neck,M.sloofiae in the upper limbs,shoulders and vertex,M.globosa in the lower limbs.There were obvious differences in the distribution of pathogenic fungal species at different body sites in a same host,and M.furfur with M.sloofiae or M.sympodialis appeared to be the most common pathogens.Conclusions In this study,6 Malassezia species are identified in patients with Malassezia folliculitis in Nantong and Nanjing area,M.furfur and M.sloofiae appear to be the dominant pathogens.
