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阿苯达唑治疗后实验性感染广州管圆线虫的家兔脑内病理变化:组织病理学和磁共振成像研究

Pathological changes in the brains of rabbits experimentally infected with Angiostrongylus cantonensis after albendazole treatment: histopathological and magnetic resonance imaging studies.

作者信息

Wang Lian-Chen, Jung Shih-Ming, Chen Chien-Chuan, Wong Ho-Fai, Wan Dinah-Pingni, Wan Yung-Liang

机构信息

Department of Parasitology, College of Medicine, Chang-Gung University, and Department of Pathology, Chang-Gung Memorial Hospital, Kueisan, Taoyuan 333, Taiwan.

出版信息

J Antimicrob Chemother. 2006 Feb;57(2):294-300. doi: 10.1093/jac/dki430. Epub 2005 Nov 30.

Abstract

OBJECTIVES

To determine the effects of albendazole on rabbits infected with larvae of Angiostrongylus cantonensis by histopathological and magnetic resonance imaging (MRI) techniques.

METHODS

Male rabbits were infected with 400 A. cantonensis larvae and treated with albendazole (5 mg/kg/day) for 2-14 days on day 5, 10, 15 or 20 post-infection.

RESULTS

Although there were pathological changes in the brains, MRI revealed unremarkable findings in the untreated group. However, the treated rabbits exhibited eosinophilic meningitis, choroid plexus inflammation, meningeal congestion, encephalitis, perivascular cuffing and meningitis, and were also found to have abnormal signal intensities on brain MR images in the 20 day post-infection treated group.

CONCLUSIONS

Pathological changes in the brains of the treated rabbits are more severe than those without albendazole treatment, suggesting that the drug may not be very suitable for the treatment of cerebral angiostrongyliasis.

摘要

目的

通过组织病理学和磁共振成像(MRI)技术确定阿苯达唑对感染广州管圆线虫幼虫的家兔的影响。

方法

雄性家兔感染400条广州管圆线虫幼虫,并在感染后第5、10、15或20天用阿苯达唑(5毫克/千克/天)治疗2至14天。

结果

虽然脑部存在病理变化,但MRI显示未治疗组无明显异常。然而,治疗后的家兔出现嗜酸性脑膜炎、脉络丛炎症、脑膜充血、脑炎、血管周围套袖样浸润和脑膜炎,并且在感染后20天治疗组的脑部MR图像上也发现有异常信号强度。

结论

治疗后的家兔脑部病理变化比未用阿苯达唑治疗的家兔更严重,表明该药物可能不太适合治疗脑型管圆线虫病。

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