title: Detection of Paracoccidioides brasiliensis by PCR in biopsies from patients with paracoccidioidomycosis: correlation with the histopathological pattern.
abstract: Paracoccidioidomycosis, a systemic mycosis, is rarely diagnosed in its initial phase and can remain latent for up to 40 years. Although PCR is sensitive for the identification of Paracoccidioides brasiliensis (Pb) in different samples, no study using paraffin-embedded human tissue has been published. The size of the amplicon, the fixation method and the time of the storage may affect the reaction. Recently the more sensitive Primer-Extension-Preamplification (PEP)-Nested-PCR has been used for amplification of small samples. Our aims were to detect Pb in paraffin embedded biopsies using (PEP)-Nested-PCR and to correlate the data with histopathological parameters. Analyses were carried out in 107 biopsies from tegument, lymph node, lung and tongue. The fungal DNA was detected in 29.9% of the biopsies by (PEP)-nested-PCR against 5% of Nested-PCR. The positivity correlated with numbers of fungi and fungal viable cells, and there was no correlation with the granuloma pattern.
authors.affiliation: Department of Pathology, Paulista Medical School-EPM, São Paulo Federal University-UNIFESP, São Paulo, Brazil.
authors.forename: G
authors.initials: G
authors.lastname: Ricci
authors.forename: I D C Guerreiro
authors.initials: ID
authors.lastname: Da Silva
authors.forename: A
authors.initials: A
authors.lastname: Sano
authors.forename: R C
authors.initials: RC
authors.lastname: Borra
authors.forename: M
authors.initials: M
authors.lastname: Franco
mesh_terms: D001706:Biopsy; D004269:DNA, Bacterial / Q000032:analysis; D006801:Humans; D010228:Paracoccidioides / Q000235:genetics / Q000302:isolation & purification*; D010229:Paracoccidioidomycosis / Q000382:microbiology* / Q000473:pathology*; D016133:Polymerase Chain Reaction
chemical_list: D004269:DNA, Bacterial