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脑损伤与巨细胞病毒感染(作者译)

[Cerebral damage and cytomegalovirus infection (author's transl)].

作者信息

Peller P, Goetz O

出版信息

Dtsch Med Wochenschr. 1978 Feb 10;103(6):265-7. doi: 10.1055/s-0028-1104419.

Abstract

Serological tests were performed on 58 children with microcephalus and 223 children with cerebral damage but no microcephalus (all patients were living in the Munich region). In the microcephalus group 38% had antibodies against cytomegalovirus, while in healthy controls the incidence was only 18%. Mean titre levels were significantly higher in microcephalic children. Of eleven microcephalic children seven were cytomegalovirus excreters: all of the latter had severe cerebral defects. On the other hand, in patients with cerebral damage but no microcephaly there was no difference serologically or with regard to virus excretion from healthy controls. The authors suggest, in conformity with opinions expressed by others, that there is a definite connection between--usually unrecognised--cytometalovirus infection and certain forms of cerebral damage. They may be atypical and symptom-poor diseases in which CNS signs appear only in the course of time.

摘要

对58名小头畸形儿童和223名有脑损伤但无小头畸形的儿童进行了血清学检测(所有患者均生活在慕尼黑地区)。小头畸形组中38%的儿童有抗巨细胞病毒抗体,而在健康对照组中这一比例仅为18%。小头畸形儿童的平均滴度水平显著更高。11名小头畸形儿童中有7名是巨细胞病毒排泄者:所有这些排泄者都有严重的脑缺陷。另一方面,有脑损伤但无小头畸形的患者在血清学方面或病毒排泄方面与健康对照组没有差异。作者与其他人表达的观点一致,认为通常未被认识的巨细胞病毒感染与某些形式的脑损伤之间存在明确的联系。它们可能是不典型且症状较少的疾病,其中中枢神经系统症状仅在病程中出现。

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