阴道分泌物分离出葡萄牙假丝酵母菌一株报告
One strain of Candida lusitaniae isolated from vaginal secretions:a case report
刘慧 1卢发强2
作者信息
- 1. 大连大学附属中山医院检验科,大连 116001
- 2. 铜仁市人民医院检验科,铜仁 554300
- 折叠
摘要
葡萄牙假丝酵母菌性阴道炎在临床较为罕见,本文报道1例由葡萄牙假丝酵母菌(Candida lusitaniae,CL)引起外阴阴道假丝酵母菌病(vulvovaginal candidiasis,VVC)的患者.本例患者为40岁女性,主要临床表现为月经前外阴瘙痒、白带增多、反复半年.将患者阴道分泌物直接涂片分别进行免疫荧光染色、革兰染色、瑞氏染色,镜检找到真菌孢子,CHROMagar显色平板鉴定为光滑假丝酵母菌,梅里埃VITEK-2 Compact全自动微生物分析系统鉴定为CL.该病例的诊治过程提示,CL实验室诊断易与其他假丝酵母菌混淆,为防止漏报或错报,对于难治病例需要考虑少见菌株感染可能.
Abstract
Candida lusitaniae vaginitis is clinically rare.This article reports a case of vaginitis caused by Candida lusitaniae in a 40-year-old female patient.The main clinical manifestations of the patient were pruritus vulvae before men-struation,increased vaginal discharge,and recurrent symptoms for six months.Vaginal secretions from the patient were di-rectly smeared and subjected to immunofluorescence staining,Gram staining,and Giemsa staining,revealing fungal spores upon microscopic examination.Identification using CHROMagar chromogenic plates revealed the presence of Candida lu-sitaniae.The bioMérieux VITEK-2 Compact automated microbiology system identified the organism as Candida lusitaniae.The diagnostic and treatment process of this case suggests that laboratory diagnosis of Candida lusitaniae can easily be con-fused with other Candida species.To prevent underreporting or misreporting,it is necessary to consider the possibility of in-fection by rare strains in refractory cases.
关键词
菌种鉴定/葡萄牙假丝酵母菌/非白假丝酵母菌/科玛嘉显色培养基/免疫荧光染色Key words
Identification of bacterial strains/Portuguese Candida albicans/Non-Candida albicans yeast/Komajia color development medium/Immunofluorescence staining引用本文复制引用
出版年
2024