Laboratório de Parasitologia, Instituto Adolfo Lutz, CEP 01246-902, São Paulo, SP, Brazil.
Future Microbiol. 2009 Dec;4(10):1363-79. doi: 10.2217/fmb.09.89.
Cerebral toxoplasmosis is a major cause of morbidity and mortality among HIV-infected patients, particularly from developing countries. This article summarizes current literature on cerebral toxoplasmosis. It focuses on: Toxoplasma gondii genetic diversity and its possible relationship with disease presentation; host responses to the parasite antigens; host immunosupression in HIV and cerebral toxoplasmosis as well as different diagnostic methods; clinical and radiological features; treatment; and the direction that studies on cerebral toxoplasmosis will likely take in the future.
脑弓形虫病是 HIV 感染患者发病率和死亡率的主要原因,尤其是在发展中国家。本文总结了目前关于脑弓形虫病的文献。它侧重于:刚地弓形虫的遗传多样性及其与疾病表现的可能关系;宿主对寄生虫抗原的反应;HIV 和脑弓形虫病中的宿主免疫抑制作用以及不同的诊断方法;临床和影像学特征;治疗;以及未来脑弓形虫病研究可能的发展方向。