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麻疹病毒细胞学发现:与新兴威胁的机构经验
Kartik Viswanathan1, Katrina M Mansmann2, Kimberly Workowski2
1Department of Pathology, Emory University, Atlanta, GA, US.
American journal of clinical pathology
|August 11, 2023
概括
对mopox病变的细胞学检查揭示了特征性的核变化和多核质细胞. 这些发现虽然不具体,但可以帮助识别mopox,并促使聚合酶链反应 (PCR) 测试.
科学领域:
- 病毒学 病毒学
- 细胞病理学 细胞病理学
- 皮肤病学 皮肤病学
背景情况:
- 麻疹 (Mopox) 是一种传染性脊髓炎病毒,自2022年以来已引起全球爆发.
- 诊断依赖于粘膜皮肤病变的片的聚合酶链反应 (PCR) 测试.
- 莫波克斯病变的细胞学特征仍然没有被描述.
研究的目的:
- 描述mopox病变的细胞学发现.
- 为了比较mpox细胞学特征与其他病毒感染.
主要方法:
- 在3名男性患者的粘膜皮肤mopox病变中直接取样抽样.
- 使用液体制剂和Papanicolaou染色处理的样品.
- 微观评估病毒细胞病变的变化.
主要成果:
- 观测到的核细胞病变:扩大的核,开放的染色体,突出的核细胞.
- 在2个案例中发现了多核质细胞.
- 在1例病例中发现了潜在的Guarnieri体;没有类似于疹病毒的变化.
结论:
- 马波克斯细胞病变的变化不是特定的,但可以建议诊断.
- 识别这些细胞学特征可能会促使确认PCR测试.
- 姆波克斯表现出明显的细胞学特征,使其与疹病毒有所区别.
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