婴幼儿擦烂性念珠菌病中马拉色菌检测

Survey of Malassezia in Candidal Intertrigo in infants

目的调查婴幼儿擦烂性念珠菌病皮损处及非皮损处马拉色菌存在的状况。方法应用直接镜检及派克墨水染色镜检法对37例婴幼儿擦烂性念珠菌病患儿皮损及非皮损处马拉色菌进行检测。结果直接镜检均见到念珠菌孢子和/或菌丝;染色后镜检马拉色菌,皮损处阳性率为37.84%(14/37),其中4例(+),4例(2+),6例(3+);非皮损处阳性率35.14%(13/37),其中9例(+),4例(2+)。皮损处(2+)及(3+)的阳性例数较多。结论提示婴幼儿擦烂性念珠菌病可能合并有马拉色菌感染。

Objective To survey the exist condition of malassezia in Candidal intertrigo in infants. Methods Candidal intertrigo of 37 infants were examined by direct and Parker ink dye to observe the exist condition of malassezia in the lesion and nonlesion. Results Spores and/or hyphae of candida were seen in all the cases by direct microscopy;after Parker ink dye, the positive rate of malassezia in the lesion was 37.84% （14/37） ,including 4 cases（ ＋ ） ,4 cases（2 ＋ ） ,6 cases（3 ＋ ） ;the positive rate of malassezia in the non-lesion was 35.14% （13/37） ,including 9 cases（ ＋ ） ,4 cases（2 ＋ ）, The cases of （2 ＋ ） and （3 ＋ ） of the lesion are more than non-lesion. Conclusion It shows that the infection of malassezia might exist in Candidal intertrigo in infants.