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一组葡萄糖-6-磷酸脱氢酶缺乏患者中的弓形虫病

Toxoplasmosis in a group of glucose-6-phosphate dehydrogenase deficient patients.

作者信息

Tabbara K F, Sharara N A, Al-Momen A K

机构信息

The Eye Center, The Eye Foundation for Research in Ophthalmogy, Department of Ophthalmology, King Saud University, Riyadh, Kingdom of Saudi Arabia.

出版信息

Saudi Med J. 2001 Apr;22(4):330-2.

Abstract

OBJECTIVE

This was a retrospective study that aimed at evaluating the relative risk of Toxoplasma infection in patients with glucose-6-phosphate dehydrogenase deficiency as compared to a control group with no glucose-6-phosphate dehydrogenase deficiency.

METHODS

Ninety-one blood donor volunteers had serology testing from Toxoplasma gondii and were screened for glucose-6-phosphate dehydrogenase deficiency by a qualitative method using fluorescent spot test. They were all males and their ages ranged from 17 to 52 years.

RESULTS

Fifty-three persons (58%) were glucose-6-phosphate dehydrogenase deficient and 38 (42%) were glucose-6-phosphate dehydrogenase normal. In the glucose-6-phosphate dehydrogenase deficient group, 31 (58.5%) had positive titers for Toxoplasma; while in the glucose-6-phosphate dehydrogenase normal group 9 persons (24%) had positive titers for Toxoplasma. The relative risk of infection was 2.5 times more in the glucose-6-phosphate dehydrogenase deficient group, a statistically significant difference with a p value of 0.002.

CONCLUSION

Glucose-6-phosphate dehydrogenase deficiency seems to increase the risk for Toxoplasma infection by 2.5 fold probably due to decreased killing effect, of phagocytic cells.

摘要

目的

这是一项回顾性研究,旨在评估葡萄糖-6-磷酸脱氢酶缺乏症患者与无葡萄糖-6-磷酸脱氢酶缺乏症的对照组相比,弓形虫感染的相对风险。

方法

91名献血志愿者接受了弓形虫血清学检测,并通过荧光斑点试验的定性方法筛查葡萄糖-6-磷酸脱氢酶缺乏症。他们均为男性,年龄在17至52岁之间。

结果

53人(58%)葡萄糖-6-磷酸脱氢酶缺乏,38人(42%)葡萄糖-6-磷酸脱氢酶正常。在葡萄糖-6-磷酸脱氢酶缺乏组中,31人(58.5%)弓形虫滴度呈阳性;而在葡萄糖-6-磷酸脱氢酶正常组中,9人(24%)弓形虫滴度呈阳性。葡萄糖-6-磷酸脱氢酶缺乏组的感染相对风险高2.5倍,p值为0.002,差异具有统计学意义。

结论

葡萄糖-6-磷酸脱氢酶缺乏症似乎使弓形虫感染风险增加2.5倍,可能是由于吞噬细胞的杀伤作用降低所致。

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