- •Lecture topic:
- •Mycobacterium nontuberculosis mycobacteria (NTMBs) are among the most abundantly represented genera of soil
- •Since the early 1980s, diseases caused by NTMBs, mycobacterioses (MB), have been considered
- •In Russia, since the middle of the last century, NTMBs have been considered
- •Despite a steady increase in the incidence of IB in economically developed countries
- •Clinical guidelines for the diagnosis of IB have been developed in a number
- •Mycobacterial infections
- •Mycobacteriosis (NTMB)
- •SYMPTOMS OF LUNG NTMB
- •THOSE MOST AT RISK OF INFECTION ARE:
- •MYCOBACTERIOSIS
- •Unfortunately, there is no single sign that is characteristic of of this disease
- •Possible transient colonization of mucous membranes of the upper respiratory NTMs from the
- •In order to make a diagnosis of "Mycobacteriosis" requires isolation of the same
- •But there are exceptions when a single isolation of NTM is sufficient for
- •In order to make a correct diagnosis and the prescription of adequate treatment,
- •"The prescription of therapy is necessary when there is marked symptomatology of the
- •tuberculo sis
- •Determination of granulomatosis pathogens should be performed sequentially, because each of the methods
- •COMPREHENSIVE MORPHOLOGICAL EXAMINATIO
- •METHODS OF DIFFERENTIATING PATHOGENS
- •Real-time PCR in FPAC research complex
- •THANK YOU FOR ATTENTION
METHODS OF DIFFERENTIATING PATHOGENS
GRANULOMATOSES
- Acid-resistant Microorganisms:
Families: Nocardiaceae, Legionellaceae,
Mycobacteriaceae,Cryptosporiidae, etc.
The genus Mycobacterium:
Includes more than 130 species of mycobacteria
Mycobacterium species:
Pathogenic: Mycobacterium tuberculosis complex
Conditionally pathogenic: M. aviumintracellulare
Saprophytic: M. smegmatis, M. phlei, etc.
Bacterioscopy with staining by CN or fluorescent
leprae;
M. fortuitum;
immunohistochemistry
Real-time PCR in FPAC research complex
- Objectives:
1.detection of the pathogen.
2.* Species identification
3.* Determination of MBT number
4.* Determination of MBT resistance profile to
5.Аntituberculosis drugs
-Types of material:
Tissue material - vestibular or autopsy
Paraffin blocks- Limitations:
1.DNA fragment to be determined within
2.100-150 paranucleotides.
3.Tissue fixation in gentle fixatives
4."Age" of the block not more than 2 years