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[严重混合性免疫缺陷。一例报告]

[Severe mixed immunodeficiency. Report of a case].

作者信息

Santana Mondragón R, Ramírez Mayans J, Berrón Pérez R, Ridaura Sanz C, López Cervantes G

出版信息

Bol Med Hosp Infant Mex. 1975 Nov-Dec;32(6):1033-45.

PMID:174701
Abstract

The case of a 3 month old child with severe combined sex linked immunodeficiency is presented. The diagnosis was well doccumented, during his life. The child presented as a case of mucocutaneous moniliasis resistant to treatment. There was a history of similar cases in the family; diagnosis was made at post-mortem in one cousin and death occurred at early age in all kins so affected. Blood marrow transplant was not feasible in our case because histocompatibility was lacking in the kins studied. Three units of transfer factor were given as well as hyperimmune plasma but the child died in respiratory failure. Autopsy demonstrated pulmonary infection by Pneumocystic carinii and generalized citomegalic inclussion virus infection; almost complete absence of immune tissue was also demonstrated.

摘要

本文报告了一名3个月大患有严重X连锁联合免疫缺陷的患儿病例。在其生前,诊断记录完备。该患儿表现为对治疗耐药的皮肤黏膜念珠菌病。家族中有类似病例史;一名堂兄弟在尸检时确诊,所有受影响的亲属均在幼年死亡。在我们的病例中,由于所研究的亲属缺乏组织相容性,骨髓移植不可行。给予了三单位转移因子和高效价免疫血浆,但患儿死于呼吸衰竭。尸检显示有卡氏肺孢子虫肺部感染和全身性巨细胞包涵体病毒感染;还显示几乎完全缺乏免疫组织。

相似文献

1
[Severe mixed immunodeficiency. Report of a case].[严重混合性免疫缺陷。一例报告]
Bol Med Hosp Infant Mex. 1975 Nov-Dec;32(6):1033-45.
2
Giant cell pneumonia due to respiratory syncytial virus. Occurrence in severe combined immunodeficiency syndrome.呼吸道合胞病毒所致巨细胞肺炎。发生于严重联合免疫缺陷综合征。
Arch Pathol Lab Med. 1984 Aug;108(8):623-5.
3
[BCG-septicemia and mucocutaneous candidiasis due to familial combined immunodeficiency (authors transl)].家族性联合免疫缺陷所致卡介苗败血症和皮肤黏膜念珠菌病(作者译)
Monatsschr Kinderheilkd (1902). 1976 Jan;124(1):32-5.
4
Pneumocystis carinii pneumonia and primary immune deficiency diseases.卡氏肺孢子虫肺炎与原发性免疫缺陷病
Natl Cancer Inst Monogr. 1976 Oct;43:65-74.
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The X-linked hyper-IgM syndrome: clinical and immunologic features of 79 patients.X连锁高IgM综合征:79例患者的临床和免疫学特征
Medicine (Baltimore). 2003 Nov;82(6):373-84. doi: 10.1097/01.md.0000100046.06009.b0.
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Thoracic manifestations of the acquired immune deficiency syndrome.获得性免疫缺陷综合征的胸部表现
J Thorac Cardiovasc Surg. 1984 Nov;88(5 Pt 1):654-8.
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[Pneumocystis carinii pneumonia in patients with a severe combined immunodeficiency].重度联合免疫缺陷患者的卡氏肺孢子虫肺炎
Ned Tijdschr Geneeskd. 1991 Jan 5;135(1):24-6.
8
Combined Pneumocystis carinii and cytomegalovirus infection.卡氏肺孢子虫与巨细胞病毒合并感染。
Arch Pathol. 1970 Dec;90(6):529-35.
9
[The interrelationship of cytomegalovirus infection and immunodeficiencies].[巨细胞病毒感染与免疫缺陷的相互关系]
Arkh Patol. 1990;52(7):16-20.
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[Generalized BCG infection in mixed and severe immunologic deficiency. Unfavorable outcome in spite of an attempted bone marrow transplant].[混合性和严重免疫缺陷中的播散性卡介苗感染。尽管尝试进行骨髓移植,但预后不良]
Arch Fr Pediatr. 1977 Aug-Sep;34(7):639-48.