论文部分内容阅读
弓形体病(Toxoplasmosis)侵犯肺部的并不少见,但引起截瘫是罕见的。 女,50岁。1981年7月起午后低热,咳嗽,伴上腹不适,乏力,住当地医院发现脾大肋下4指,经骨髓检查诊断“脾亢”。治疗无好转。1982年3月开始持续高热,转外地医院,发现肝大肋下2cm,脾大平脐。5月4日胸片见右下肺野有多个类圆形阴影,意见为右肺转移癌。40天后胸片复查左下肺野亦出现圆形阴影。同时出现双下肢麻木,活动障碍,感觉消失,大小便失禁,腰椎X线照片无特殊
It is not uncommon for Toxoplasmosis to invade the lungs, but paraplegia is rare. Female, 50 years old. July 1981 afternoon low fever, cough, with abdominal discomfort, fatigue, living in the local hospital found splenic ribs 4 fingers, bone marrow examination to diagnose “hypersplenism.” No improvement in treatment. March 1982 continued high fever, transfer to foreign hospitals, found that the ribs 2cm large liver, spleen Daiping umbilical. May 4 chest X-ray see the right lower lung field with multiple circular shadow, the views of the right lung metastasis. After 40 days chest X-ray examination of the lower left lung also appeared circular shadows. At the same time there are numbness of both lower extremities, movement disorders, feeling disappeared, incontinence, no special lumbar X-ray