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[弓形虫在儿童慢性扁桃体炎病因学中的作用]

[The role of Toxoplasma gondii in the etiology of chronic tonsillitis in children].

作者信息

Vráblic J, Staník R, Catár G, Holková R, Nemec R, Klaćanský I, Mydlík I, Pavlina M

机构信息

Katedra biológie a parazitológie LFUK v Bratislave, Klinika ORL DFN v Bratislave.

出版信息

Bratisl Lek Listy. 1991 Oct;92(10):504-9.

PMID:1809471
Abstract

Toxoplasma gondii is know to have an affinity to lymphatic tissue. The authors studied whether after infection of the child's body T. gondii does or does not determine the chronic course of tonsillitis. In 712 children with chronic tonsillitis serological examinations for toxoplasmosis were carried out by means of RVK, NIR and ELISA. Low titers of toxoplasme antibodies were found in 8.0% of the children examined. In light of the following findings the authors conclude that toxoplasme tonsillitis did not occur in their series: toxoplasma antibodies failed to be increased; their titers in seropositive children were low; toxoplasma was not isolated from tonsillar tissue; no direct microscopic evidence of the parasite could be established in smears of cell aspirate from lymph nodes regional to the palatine tonsils; the same smears failed to present the cytopathologic picture characteristic of nodal toxoplasmosis. In our ecologic conditions T. gondii is presumably not involved in the etiology of chronic tonsillitis, or it may be involved but to an epidemiologically not appreciable extent. (Tab. 10, Ref. 18).

摘要

已知弓形虫对淋巴组织具有亲和力。作者研究了儿童身体感染弓形虫后是否会导致扁桃体炎的慢性病程。对712名患有慢性扁桃体炎的儿童进行了弓形虫病的血清学检查,采用RVK、NIR和ELISA方法。在接受检查的儿童中,8.0%发现弓形虫抗体滴度较低。根据以下发现,作者得出结论,在他们的研究系列中未发生弓形虫性扁桃体炎:弓形虫抗体未升高;血清阳性儿童的抗体滴度较低;未从扁桃体组织中分离出弓形虫;在腭扁桃体区域淋巴结的细胞吸出物涂片中未发现该寄生虫的直接显微镜证据;同样的涂片未呈现出淋巴结弓形虫病特有的细胞病理学表现。在我们的生态环境中,弓形虫大概不参与慢性扁桃体炎的病因,或者它可能参与其中,但在流行病学上程度不明显。(表10,参考文献18)

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1
[The role of Toxoplasma gondii in the etiology of chronic tonsillitis in children].[弓形虫在儿童慢性扁桃体炎病因学中的作用]
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[The role of Toxoplasma gondii in the etiology of chronic tonsillitis in children].[弓形虫在儿童慢性扁桃体炎病因学中的作用]
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Trans R Soc Trop Med Hyg. 2013 Jun;107(6):390-6. doi: 10.1093/trstmh/trt026. Epub 2013 Apr 18.