Application of Anti-BCG Immunohistochemical Staining for Screening of Sporothrix schenckii: Comparison with PAS Stain
Abstract
BACKGROUND: Sporotrichosis is frequently difficult to diagnose because its morphologic appearance may closely resemble mycobacterial infection or noninfectious inflammatory reaction. Sporothrix schenckii may be difficult to identify in histological sections stained with histochemical staining such as haematoxylin and eosin, periodic-acid-Shiff(PAS) and Gomori's-methenamine-silver (GMS).
OBJECTIVE: The purpose of this study was to determine whether immunohistochemical staining with a polyclonal anti-Mycobacterium bovis(BCG) antibody, which is known for its interspecies cross-reactivity between microorganisms, is the suitable screening method to detect Sporothrix schenckii of sporotrichosis in skin tissues.
METHODS: Thirty sporotrichosis samples of formalin-fixed, paraffin-embedded skin tissues were stained with anti-BCG immunohistochemical stain (anti-BCG stain) and PAS stain.
RESULTS: Thirteen cases (43%) of 30 were positive with PAS stain, and 19 cases (63%) were positive with anti-BCG stain. In 24 cases which were positive in fungal culture, 11 were positive in both stains, 1 was positive in PAS stain only, 6 cases were positive in anti-BCG stain only, and 6 were negative in both stains. In 6 cases which were negative in fungal culture, 1 was positive in both stains, 1 was positive in anti-BCG stain, and 4 were negative in both stains.
CONCLUSION: Because of its cross-reactivity with fungi as well as its high sensitivity and minimal background staining, the anti-BCG stain can be the useful screening method of detection of S. schenckii in paraffin-embedded specimens of sporotrichosis.
Keywords
Anti-BCG immunohistochemical stain Sporotrichosis
KJMM
1999 June;4(1):55-59(5). Epub 2016 February 24
Copyright © 1999 by Korean Journal of Medical Mycology
Language
Korean/English
Author
Chin Young Park; Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
Seung Chul Lee; Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
Young Ho Won; Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
Corresponding
Young Ho Won, Department of Dermatology, Chonnam University Medical School, Kwangju, Korea.
Publication history
Acknowledgements
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Chin Young Park
Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
Seung Chul Lee
Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
Young Ho Won
Department of Dermatology, Chonnam University Medical School, Kwangju, Korea
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