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弓形虫性脑炎高危患者的弓形虫血清学、虫血症和抗原血症

Toxoplasma serology, parasitemia and antigenemia in patients at risk for toxoplasmic encephalitis.

作者信息

Dannemann B R, Israelski D M, Leoung G S, McGraw T, Mills J, Remington J S

机构信息

Research Institute, Palo Alto Medical Foundation Research Institute, CA 94301.

出版信息

AIDS. 1991 Nov;5(11):1363-5. doi: 10.1097/00002030-199111000-00013.

DOI:10.1097/00002030-199111000-00013
PMID:1768386
Abstract

In order to further characterize the pathogenesis of Toxoplasma gondii infection in patients with AIDS and AIDS-related complex (ARC), a cohort of HIV- and Toxoplasma-infected individuals were identified and prospectively followed. Four hundred and 10 HIV-infected individuals followed in the San Francisco General Hospital AIDS Clinic were screened for antibodies to Toxoplasma between November 1986 and November 1988. Of the 67 (16%) individuals seropositive for Toxoplasma antibodies, 33 (49%) were followed monthly for a mean duration of 7.5 months. One hundred and 11 follow-up blood samples were obtained in order to determine Toxoplasma serology and the incidence of parasitemia. In general, Toxoplasma immunoglobulin (Ig) G antibodies remained stable over time. Detection of Toxoplasma antigenemia and parasitemia was uniformly negative, including those specimens obtained from two individuals within 45 days of their developing toxoplasmic encephalitis.

摘要

为了进一步阐明艾滋病患者及艾滋病相关综合征(ARC)中弓形虫感染的发病机制,我们确定了一组感染HIV和弓形虫的个体并对其进行前瞻性随访。1986年11月至1988年11月期间,在旧金山综合医院艾滋病诊所对410名HIV感染者进行了弓形虫抗体筛查。在67名(16%)弓形虫抗体血清学阳性个体中,33名(49%)个体每月接受随访,平均随访时间为7.5个月。为了确定弓形虫血清学和血症发生率,共采集了111份随访血样。总体而言,弓形虫免疫球蛋白(Ig)G抗体随时间保持稳定。弓形虫抗原血症和血症的检测结果均为阴性,包括从两名发生弓形虫脑炎后45天内采集的标本。

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