1996
DOI: 10.1093/infdis/174.2.427
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An Immunohistochemical Analysis of Naturally Occurring Chancroid

Abstract: Haemophilus ducreyi is a major cause of genital ulcer disease in many developing countries and is associated with augmented transmission of human immunodeficiency virus (HIV). However, the mechanisms through which H. ducreyi produces ulceration are poorly understood. The characteristics of the host response to H. ducreyi and the pathobiology of its potential contribution to increased HIV susceptibility are not known. Chancroid ulcer biopsies from 8 patients were analyzed histologically and immunohistochemicall… Show more

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Cited by 45 publications
(34 citation statements)
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“…In mock-immunized animals challenged with either strain (Fig. 1B6 and 8), there was a dense infiltrate of neutrophils and the epidermal-dermal border was completely destroyed, which left the dermis exposed, similar to previous results (1) and comparable to natural and experimental infection in humans (34,56). In the nHgbA I -immunized heterologous challenge group (Fig.…”
Section: Resultssupporting
confidence: 89%
“…In mock-immunized animals challenged with either strain (Fig. 1B6 and 8), there was a dense infiltrate of neutrophils and the epidermal-dermal border was completely destroyed, which left the dermis exposed, similar to previous results (1) and comparable to natural and experimental infection in humans (34,56). In the nHgbA I -immunized heterologous challenge group (Fig.…”
Section: Resultssupporting
confidence: 89%
“…ducreyi has been shown to associate with human granulocytes and macrophages in chancroidal lesions that occur naturally (31,37) and in the human challenge model of infection (8,10,49). At least during the early stages of experimental infection (i.e., through pustule development), H. ducreyi can be found associated with PMNs and macrophages but not with T cells, Langerhans' cells, or fibroblasts (8).…”
Section: Discussionmentioning
confidence: 99%
“…In vivo, H. ducreyi is found in association with macrophages in naturally acquired chancroid lesions and in the human experimental infection model (2,25,26,31,42,43). To under- stand the mechanisms by which H. ducreyi persists and survives in the presence of these phagocytes, we explored the in vitro interactions of H. ducreyi with the human macrophage-like cell line, U-937.…”
Section: Discussionmentioning
confidence: 99%
“…Chancroid lesions involve cells of the epidermis and dermis and contain an immune cell infiltrate consisting of polymorphonuclear leukocytes (PMNs), T cells, and macrophages (2,25,26,42,43). Despite this immune cell infiltrate, viable H. ducreyi can be isolated from these ulcers weeks or months after initial infection (31).…”
mentioning
confidence: 99%