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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。
The authors studied 18 cases of acquired toxoplasmosis autopsy material from three New York hospitals. Seventeen patients were Acquired Immune Deficiency Syndrome (AIDS) and one patient was Hodgkin’s Disease. Eighteen cases were involved in the brain, of which 9 cases still spread to the heart (8 cases), lung (4 cases), pancreas (3 cases), digestive tract (2 cases) and genitourinary tract (3 cases). The disease will be divided into (1) immunocompetent, (2) immunocompromised, and (3) immunodeficiency. Autopsy found that the brain, heart, lung most vulnerable. Toxoplasma gondii also found in lung and gastrointestinal tract. Tip Swallowing sputum containing tachyzoites and pseudocysts may cause infections. Genitourinary toxoplasmosis can cause sexual transmission.