Ziehl-Neelsen stain

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Ziehl-Neelsen stain is a type of bacteriological stain used to identify acid-fast bacteria, particularly species in the Mycobacterium genus. This staining method was first described by two German doctors, Franz Ziehl and Friedrich Neelsen, and is thus named after them.

History[edit | edit source]

The Ziehl-Neelsen stain was first introduced in the late 19th century by Franz Ziehl, a German bacteriologist, and Friedrich Neelsen, a German pathologist. They developed this staining technique to identify the bacterium Mycobacterium tuberculosis, the causative agent of tuberculosis.

Principle[edit | edit source]

The principle of the Ziehl-Neelsen stain involves the use of two primary dyes: carbol fuchsin, which is a phenolic compound, and methylene blue, which acts as a counterstain. Acid-fast bacteria, such as Mycobacterium tuberculosis, have a high lipid content in their cell walls, which makes them resistant to decolorization by acid-alcohol. This property is exploited in the Ziehl-Neelsen stain, allowing for the selective staining of these bacteria.

Procedure[edit | edit source]

The procedure for the Ziehl-Neelsen stain involves several steps. First, the bacterial smear is flooded with carbol fuchsin and heated to enhance the penetration of the dye. The smear is then decolorized with acid-alcohol, which removes the dye from non-acid-fast bacteria. Finally, the smear is counterstained with methylene blue, which stains the non-acid-fast bacteria.

Applications[edit | edit source]

The Ziehl-Neelsen stain is primarily used in the diagnosis of tuberculosis and leprosy, as the bacteria that cause these diseases are acid-fast. It is also used in the identification of Nocardia species, which are partially acid-fast.

Limitations[edit | edit source]

While the Ziehl-Neelsen stain is a valuable tool in the identification of acid-fast bacteria, it has some limitations. For instance, it cannot differentiate between different species of acid-fast bacteria. Additionally, it requires a high bacterial load to be effective, and may not detect infections with a low number of bacteria.

Ziehl-Neelsen stain Resources
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Contributors: Prab R. Tumpati, MD