【添加聚乙二醇6000的凝胶培养基免疫扩散试验用于真菌病的血清诊断】。

L Zaror, A M Robles, R Negroni
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引用次数: 0

摘要

研究了添加聚乙二醇6000 (PEG)和不添加聚乙二醇6000 (PEG)的不同免疫扩散技术,以确定其对这些反应敏感性的影响。采用定量Ouchterlony免疫扩散法检测了患有或曾经患有深部真菌病(副球孢子菌病49例,组织胞浆菌病25例,曲霉病25例,念珠菌病8例,球孢子菌病6例)的113例患者的血清。使用普通培养基和含2%和4% PEG的培养基。113份血清中有82份在常规培养基中呈阳性,91份在含有2% PEG的培养基中呈阳性;此外,对于后一种培养基,在40%的血清中观察到滴度增加1或2倍稀释。用琼脂糖凝胶免疫电泳法对21例曲霉病患者的血清进行了检测,结果显示,在含2% PEG的培养基中,80%的血清有更多的沉淀带。采用琼脂糖电渗透法结合二次免疫扩散试验对34例曲霉病、副球孢子菌病和组织胞浆菌病患者的血清进行了研究。当使用PEG介质时,55%的阳极带增加,64%的阴极带增加。这一结果表明,在常规培养基中加入2% PEG 6000可提高真菌病免疫扩散试验的敏感性。
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[Immunodiffusion tests in gel media with the addition of polyethyleneglycol 6000 for the serodiagnosis of mycoses].

Different immunodiffusion techniques with and without the addition of polyetilenglycol 6000 (PEG), were studied to determine its effect on the sensitivity of these reactions. One hundred thirteen sera from patients who suffered or had suffered deep mycoses (paracoccidioidomycosis: 49, histoplasmosis: 25, aspergillosis: 25, candidiasis: 8 and coccidioidomycosis: 6) were examined by the quantitative Ouchterlony's immunodiffusion procedure. Regular medium and media with 2% and 4% PEG were used. Eighty two out of the one hundred thirteen sera were positive for the regular medium and 91 for the medium containing 2% of PEG; furthermore, an increase of 1 or 2 two fold dilutions in the titers was observed in 40% of the sera, for the later media. Twenty one sera from aspergillosis cases were examined by agarose gel immunoelectrophoresis, 80% had more precipitin bands in the medium with 2% of PEG. Thirty four serum samples of patients suffering aspergillosis, paracoccidioidomycosis and histoplasmosis were studied using the agarose electroosmophoresis with the secondary immunodiffusion test. An increase in the number of the anodic bands were observed in 55% while 64% presented more catodic bands, when the PEG medium was used. This results would indicate that the addition of 2% PEG 6000 to the regular medium improves the sensitivity of the immunodiffusion tests for mycoses.

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