A Scoring System for Pneumocystis Pneumonia Based on Clinical Symptoms and Laboratory Findings in a Rat Model

  • سال انتشار: 1386
  • محل انتشار: فصلنامه آسیب شناسی ایران، دوره: 2، شماره: 4
  • کد COI اختصاصی: JR_IJP-2-4_004
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 991
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نویسندگان

Abbas Mahmoodzadeh

Dept. of Microbiology and Molecular Biology Research Center, Baqyatallah University of Medical Sciences, Tehran, Iran

Massoud Hajia

Research Center of Reference Laboratories of Iran, Tehran, Iran

Mohammad Reza Rezaiemanesh

Dept. of Microbiology and Molecular Biology Research Center, Baqyatallah University of Medical Sciences, Tehran, Iran

H Morovati

Razi Vaccine and Serum Research Institute, Tehran, Iran

چکیده

Background and Objective: Effective clinical prediction of Pneumocystis carinii pneumonia (PCP) is quite critical, especially in high risk groups. Different scoring systems have been reportedto help the physicians before patients entering the acute stage. This research study was conductedto evaluate the possibility of grading the disease based on clinical symptoms and laboratory findings of pneumocystosis in a rat model. Materials and Methods: Twenty female rats (two-month age, a weight of 150-200 g, Sprague- Dawley strain) were stimulated artificially by methyl prednizolone acetate to infect them. Changesof clinical signs and symptoms were followed up for two months. All changes were registered andgraded according to defined criteria. Oral swab, broncho-alveolar lavage, and lung homogenate were collected before injection and at weeks 2, 3, 4, 5, 6 and 7 from test and control groups. Allspecimens were tested by Giemsa and Gomori’s metenamin silver staining and PCR methods.Results: Three stages were determined for infection of PCP on the basis of clinical symptoms and laboratory findings. Conclusion: With regard to the correlation between staining and PCR results and clinical symptoms in the studied groups, those animal models under suppressed immune system are in a healthy condition up to 10 days after injection, but those from days 11-20, 21-30, and over 30 are in phases 1, 2 and 3 respectively.

کلیدواژه ها

Scoring method, Pneumocystis, pneumonia, Rat

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