中国寄生虫学与寄生虫病杂志 ›› 1995, Vol. 13 ›› Issue (1): 68-71.

• • 上一篇    下一篇

获得性弓形虫病18例尸检材料的临床病理学研究

刘德纯,林清森   

  1. 安徽蚌埠医学院病理学教研室; 美国纽约MountSinai医学中心病理系; 美国新泽西州Barnert医院病理系
  • 出版日期:1995-02-28 发布日期:2017-01-05

A CLINICOPATHOLOGICAL STUDY OF EIGHTEEN AUTOPSY CASES WITH ACQUIRED TOXOPLASMOSIS

  • Online:1995-02-28 Published:2017-01-05

摘要: 作者研究纽约三家医院18例获得性弓形虫病尸检材料。17例为获得性免疫缺陷综合征(AIDS)患者,1例为何杰金氏病患者。18例均累及脑,其中9例尚播散至心(8例)、肺(4例)、胰(3例)、消化道(2例)及泌尿生殖器官(3例)等。作者将本病分为(1)免疫正常型,(2)免疫受损型和(3)免疫缺陷型。尸检发现表明,脑、心、肺最易受累。肺和胃肠道同时发现弓形虫。提示通过吞咽含有速殖体和假囊的痰液可能造成自身感染。泌尿生殖器官弓形虫病可能导致性传播。

关键词: 弓形虫病, 尸体解剖, 获得性免疫缺陷综合征

Abstract: Eighteen autopsy cases of acquired toxoplasmosis in New York City were studied. Seventeen cases were with acquired immunodeficiency syndrome (AIDS) and one patient with Hodgkins disease. All 18 cases involved the brain and nine of them disseminated to the heart(8 cases), lung(4 cases), pancreas(3 cases),alimentary tract (2 cases)and urogenital organs (3 cases). The authors divided the acquired toxoplasmosis into (1) immunocompetent, (2)immunocompromised and (3) immunodeficient types. The autopsy findings showed that the brain, heart and lung were the most susceptive organs. Pseudocysts were also found in lungs and alimentary tract, suggesting an autoinfection by swallowing sputum containing Toxoplasma. Toxoplasma in the urogenital organs might become a source for sexual transmitted toxoplasmosis.

中图分类号: