论文部分内容阅读
弓形虫是弓形虫病的病原体,临床症状错综复杂,轻重不一,容易误诊。我院于1991年12月收住一例因弓形虫感染引起全身浅表淋巴结肿大患者。男性,39岁,以淋巴结核收住院,查体时发现患者全身浅表淋巴结肿大,尤以颌下淋巴结(如馒头大)和两腹股沟淋巴结(如鸡蛋大)肿大最显著,质稍硬,触之压痛,全身皮肤瘙痒,可见暗红色斑丘疹,因抓搔留有色素沉着,用利福平、乙胺丁醇治疗一月余,未见好转,后经血清学及病理检查证实为弓形虫病,改用乙酰螺旋霉素治疗20日后,局部淋巴逐渐消肿,压痛减轻,继续治疗。
Toxoplasma gondii is the pathogen of toxoplasmosis, complicated clinical symptoms, varying in severity, easy to misdiagnosis. Our hospital in December 1991 admitted to a case of Toxoplasma gondii infection caused systemic superficial lymph nodes in patients. Male, 39 years old, admitted to hospital with lymph node tuberculosis, physical examination showed superficial lymph nodes in patients with systemic swelling, especially in the submandibular lymph nodes (such as bread big) and two inguinal lymph nodes (such as large eggs) swelling the most significant, slightly qualitative hard , Touch the tenderness, systemic skin itching, dark red rash can be seen, scratching left pigmentation, with rifampicin, ethambutol treatment for more than a month, did not improve, after confirmed by serological and pathological examination as Toxoplasmosis, switch to acetyl spiramycin treatment 20 days, the local lymph gradually swelling, tenderness and reduce the continued treatment.