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两名霍奇金病经治疗患者的脑部并发症(病毒性脑病、弓形虫病)。临床与病理研究(作者译)

[Cerebral complications (viral encephalopathy, toxoplasmosis) in two patients with treated Hodgkin's disease. Clinical and pathological study (author's transl)].

作者信息

Sarbach B

出版信息

Acta Neurol Belg. 1975 Mar-Apr;75(2):65-84.

PMID:1155022
Abstract

In his anatomo-clinical description of two cases of Hodgkin's disease treated by immunosuppressive agents and which were complicated by encephalopathy, the author insists on the moderate encephalic inflammatory reaction which he attributes, in part, to the noxious effects of this type of therapeutics on the immune defenses. He further reviews similar case histories from the literature and compares them with his personal observations. The first case, of subacute evolution, may have been infected by two distinct viruses represented by intranuclear inclusions; one having its site within the neurons provoking a moderate localized oedematous zone in the cerebral trunk, the other situated within the neuroglia cells results in a net tissular reaction. In the absence of virological and electron microscopic studies it is impossible to be precise about their true nature. The second case, on the contrary of acute evolution, revealed an extraordinary quantity of intracellular toxoplasma parasites in the periphery of several necrotic areas.

摘要

在对两例接受免疫抑制剂治疗并并发脑病的霍奇金病病例进行解剖学临床描述时,作者强调了中度的脑部炎症反应,他部分地将其归因于这类治疗方法对免疫防御的有害影响。他还回顾了文献中的类似病例史,并将它们与自己的个人观察结果进行了比较。第一例为亚急性病程,可能感染了两种由核内包涵体代表的不同病毒;一种位于神经元内,在脑干引发了中度局限性水肿区,另一种位于神经胶质细胞内,导致明显的组织反应。由于缺乏病毒学和电子显微镜研究,无法准确确定它们的真实性质。相反,第二例为急性病程,在几个坏死区域的周边发现了大量细胞内弓形虫寄生虫。

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