作为一个呼吸道病原体的Lophomonas跳过枪的枪
Abhishek Mewara1, Gillian H Gile2, Blaine Mathison3,4
1Department of Medical Parasitology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Journal of clinical microbiology
|October 30, 2023
概括
关于人类Lophomonas感染的报道可能是错误地识别了状上皮细胞,而不是真正的病原体. 目前的诊断方法缺乏特异性,临床证据不足以支持Lophomonas作为人类病原体.
科学领域:
- 微生物学 微生物学
- 传染性疾病 传染性疾病
- 医学寄生虫学 医学寄生虫学
背景情况:
- 在过去的三十年中,人类感染原生动物Lophomonas的报道有所增加.
- 最初的诊断依赖于显微镜识别,在Lophomonas blattarum的聚合酶链反应 (PCR) 开发后,报告的数量急剧增加.
研究的目的:
- 评估Lophomonas作为人类病原体的潜在作用.
- 批判性地评估有关人类Lophomonas感染的已发表证据.
主要方法:
- 从人类标本中分析了所谓的Lophomonas的已公布图像和视频.
- 与宿主支气管纤维状上皮细胞和真正的L. blattarum. 的形态学和运动性的比较.
- 对诊断PCR方法和报告病例的临床数据的审查.
主要成果:
- 来自人类标本的图像和视频主要显示错误识别的状上皮细胞,而不是真正的Lophomonas.
- 临床证据不足;表现是非特异性的,缺乏可归因的组织病理.
- 已发表的PCR测定没有特异性,并且可以放大来自共生三种类的DNA.
结论:
- 根据目前的证据,Lophomonas不太可能是人类的重要病原体.
- 在将微生物归类为新型人类病原体之前,严格的科学审查是必不可少的.
- 错误诊断对患者的护理和科学文献的完整性构成风险.
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