Benirschke K, Coen R, Patterson B, Key T
University of California, University Medical Center, San Diego 92103-8321, USA.
Placenta. 1999 Jul-Aug;20(5-6):395-9. doi: 10.1053/plac.1999.0405.
Chronic villitis is a common condition in human placentae. In some cases an infectious cause can be demonstrated, such as infection with cytomegalovirus and rubella virus. Most often it is of unknown aetiology, the so-called VUE (villitis of unknown aetiology). We describe two cases with identification of specific infectious agents, each demonstrating previously unreported findings, i.e. persistent varicella antigen in the villi in case 1, and presence of toxoplasma cysts in Wharton's jelly in case 2. The identification of the pathogens, varicella virus and toxoplasma, would easily have been overlooked in routine study of the placenta and were possible because of clinical suspicion.
慢性绒毛炎是人类胎盘常见的病症。在某些情况下,可以证实存在感染性病因,如巨细胞病毒和风疹病毒感染。最常见的是病因不明,即所谓的VUE(病因不明的绒毛炎)。我们描述了两例确定了特定感染因子的病例,每例都显示出以前未报告的发现,即病例1绒毛中存在持续的水痘抗原,病例2华通胶中存在弓形虫囊肿。在胎盘的常规检查中,水痘病毒和弓形虫这些病原体很容易被忽视,而由于临床怀疑才得以发现。