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[婴儿获得性免疫缺陷中的宫内及产后肺炎]

[Intrauterine and postnatal pneumonia in acquired immunodeficiency of infants].

作者信息

Klembovskiĭ A I, Muzykantova V S, Kunitskiĭ Iu B, Viduta O D

出版信息

Arkh Patol. 1991;53(12):20-5.

PMID:1801664
Abstract

The autopsy material of 15 children aged from 2 months to 3 years from the zonal group of increased risk of the ecologic pathology, acquired immunodeficiency and viral infections was assessed morphologically and clinically. Decreased number of T-cells (T4, T8), an increase of the level of serum IgA, IgE and immune complexes, HIV-antibodies (4 cases) were found in the patients. The method of the molecular hybridization by means of virus-specific 32P-DNA probes was used. Bronchopneumonia was the cause of death. Severe deficiency of the organs and cells of the immune system, alternative-proliferative lung inflammation, mainly in the form of pneumonitis and alveolitis, were found. The latter differed either individually or as a result of the predominant infectious agent (RNA- or DNA-viruses, pneumocysts, bacterial flora, fungi). Considerable immunity dysfunctions enhanced the intensity of the specific features in pneumonia morphology.

摘要

对来自生态病理学、获得性免疫缺陷和病毒感染高风险区域组的15名2个月至3岁儿童的尸检材料进行了形态学和临床评估。患者中发现T细胞(T4、T8)数量减少,血清IgA、IgE和免疫复合物水平升高,HIV抗体阳性(4例)。采用了病毒特异性32P-DNA探针的分子杂交方法。支气管肺炎是死亡原因。发现免疫系统的器官和细胞严重缺乏,存在替代性增殖性肺部炎症,主要表现为肺炎和肺泡炎。后者因个体差异或主要感染因子(RNA或DNA病毒、肺孢子虫、细菌菌群、真菌)不同而有所差异。严重的免疫功能障碍增强了肺炎形态学特征的强度。

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