Medizinische Mykologie
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Erkrankungen durch Pilze beanspruchen in der täglichen Praxis ei- nen breiten und ständig wachsenden Raum. Man hört und liest von einem unaufbaItsamen Vormarsch der Pilze und ihrer zunehmenden Gefährdung für den Menschen. Diese Behauptung gilt sicher nicht so allgemein für alle Erkrankungen durch Pilze. Jedoch müssen wir langsam lernen, die Gefahr, die von diesen Erregern ausgeht, richtig einzuschätzen. Wenn man heute von einer wachsenden Bedeutung der Pilzerkrankungen spricht, so sind in erster Linie Mykosen als Er- krankungen durch parasitäre Pilze gemeint. Die Kenntnis der Mykosen ist für den praktisch tätigen Arzt ebenso wichtig wie die Kenntnis von Erkrankungen durch Bakterien oder Viren. Auf den ersten Blick erscheint dieses Gebiet der Mikrobiolo- gie sicher au erordentlich verwirrend. Unser Anliegen ist es daher, den mykologisch Interessierten nicht durch eine Vielfalt unüber- schaubarer Begriffe zu verunsichern und ihm die Unzulänglichkeit seines Tuns immer wieder zu beweisen, sondern es geht uns darum, Hilfen zu geben bei der Diagnostik, der Therapie und den prophy- laktischen Ma nahmen in der Mykologie. Am Beginn der Mikrobiologie stand ohne Zweifel die Mykologie. Vor der Entdeckung der Bakterien wurden bereits 1836 von Remark in den Krusten des Favus verzweigte Fäden gesehen, die er zu die- sem Zeitpunkt jedoch wohl nicht als Ursache für die Erkrankung an- sah. 1839 erkannte dann Schönlein den Zusammenhang zwischen Pilzfäden und der Entstehung des Favus. Virchow führte schon den Begriff der Dermatomykosen in die Humanpathologie ein. Die My- kologie erhielt jedoch ihre entscheidenden Impulse und Bedeutung durch die Arbeiten von Sabouraud.
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