目的构建纳米细菌Wistar雄性大鼠肾结石模型,并进行mirco-CT动态监测,为肾结石病因学的研究提供新的技术支持。方法将60只SPF级Wistar雄性大鼠随机分为纳米细菌组(尾静脉注射1.2 ml NB悬液,30只)和对照组(尾静脉注射1.2 ml生理盐水,30...目的构建纳米细菌Wistar雄性大鼠肾结石模型,并进行mirco-CT动态监测,为肾结石病因学的研究提供新的技术支持。方法将60只SPF级Wistar雄性大鼠随机分为纳米细菌组(尾静脉注射1.2 ml NB悬液,30只)和对照组(尾静脉注射1.2 ml生理盐水,30只),共计处理10 W,每周每组处死3只,并取两侧鲜活肾标本,在mirco-CT下进行检测,并记录阳性指标个数,同时做病理组织学检验,对结晶阳性动物实验模型进行统计分析。结果mirco-CT检测结果:截至第10周末,纳米细菌组大鼠肾高密度影检出4只,对照组未检出;病理组织学检验结果:10 w计数,纳米细菌组大鼠肾晶体阳性11只,截至第10周末,纳米细菌组大鼠肾晶体阳性率高于对照组,差异有统计学意义(P<0.001)。结论 mirco-CT与病理组织学检验结果进行比较分析,计算其Kappa值≈0.4199,一致性较差。原因系二者在宏观与微观两个层面分别对结石形成进行监测,其中mirco-CT可以在不破坏标本的情况下,构建更加直观立体的三维模型,对结石形成的动态观测具有重要意义。展开更多
Scrub typhus is an acute febrile disease caused by Orientia tsutsugamushi （0. tsutsugamushi）. We report herein the case of a woman who presented with fever and elevated serum levels of liver enzymes and who was defi...Scrub typhus is an acute febrile disease caused by Orientia tsutsugamushi （0. tsutsugamushi）. We report herein the case of a woman who presented with fever and elevated serum levels of liver enzymes and who was definitively diagnosed with scrub typhus by his- topathological examination of liver biopsy specimens, serological tests and nested polymerase chain reaction. Immunohistochemical staining using a monoclonal an- ti-O. tsutsugamushi antibody showed focally scattered positive immunoreactions in the cytoplasm of some hepatocytes. This case suggests that scrub typhus hepatitis causes mild focal inflammation due to direct liver damage without causing piecemeal necrosis or interface hepatitis. Thus, scrub typhus hepatitis differs from acute viral hepatitis secondary to liver damage due to host immune responses, which causes severe Iobular disarray with diffuse hepatocytic degeneration, necrosis and apoptosis as well as findings indicative of hepatic cholestasis, such as hepatic bile plugs or brown pigmentation of hepatocytes.展开更多
基金Supported by The Korea Science and Engineering Foundation Grant Funded by the Korean Government through the Research Center for Resistant Cells, No. R13-2003-009
文摘Scrub typhus is an acute febrile disease caused by Orientia tsutsugamushi （0. tsutsugamushi）. We report herein the case of a woman who presented with fever and elevated serum levels of liver enzymes and who was definitively diagnosed with scrub typhus by his- topathological examination of liver biopsy specimens, serological tests and nested polymerase chain reaction. Immunohistochemical staining using a monoclonal an- ti-O. tsutsugamushi antibody showed focally scattered positive immunoreactions in the cytoplasm of some hepatocytes. This case suggests that scrub typhus hepatitis causes mild focal inflammation due to direct liver damage without causing piecemeal necrosis or interface hepatitis. Thus, scrub typhus hepatitis differs from acute viral hepatitis secondary to liver damage due to host immune responses, which causes severe Iobular disarray with diffuse hepatocytic degeneration, necrosis and apoptosis as well as findings indicative of hepatic cholestasis, such as hepatic bile plugs or brown pigmentation of hepatocytes.
