Almeida Osvaldo P, Lautenschlager Nicola T
University of Western Australia, School of Psychiatry and Clinical Neurosciences, Mail Delivery Point M573, 35 Stirling Highway, Crawley, Perth, WA 6009, Australia.
Int Psychogeriatr. 2005;17 Suppl 1:S65-77. doi: 10.1017/s104161020500195x.
At the turn of the last century, infectious diseases represented an important cause of health morbidity and behavioral changes. Neurosyphilis, for example, was relatively common at the time and often led to the development of cognitive impairment and dementia. With the advent of effective antibiotic treatment, the association between infectious diseases and dementia became increasingly less frequent, although a resurgence of interest in this area has taken place during the past 15 years with the emergence of acquired immunodeficiency syndrome (AIDS) and variant Creutzfeldt-Jakob disease (vCJD). This paper reviews the most frequent infectious causes of dementia, including prion diseases, as well as infections caused by herpes virus, human immunodeficiency virus (HIV), toxoplasmosis, cryptococcus, cytomegalovirus, syphilis, borrelia and cysticercosis.
在上个世纪之交,传染病是导致健康问题和行为改变的重要原因。例如,神经梅毒在当时相对常见,常常导致认知障碍和痴呆症的发生。随着有效抗生素治疗方法的出现,传染病与痴呆症之间的关联越来越少见,尽管在过去15年里,随着获得性免疫缺陷综合征(艾滋病)和变异型克雅氏病(vCJD)的出现,人们对这一领域的兴趣再度兴起。本文综述了导致痴呆症最常见的感染原因,包括朊病毒病,以及由疱疹病毒、人类免疫缺陷病毒(HIV)、弓形虫病、隐球菌、巨细胞病毒、梅毒、疏螺旋体和囊尾蚴病引起的感染。