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关于人类弓形虫病的综述。

A review on human toxoplasmosis.

作者信息

Saadatnia Geita, Golkar Majid

机构信息

Molecular Parasitology Laboratory, Parasitology Department, Pasteur Institute of Iran, Tehran, Iran.

出版信息

Scand J Infect Dis. 2012 Nov;44(11):805-14. doi: 10.3109/00365548.2012.693197. Epub 2012 Jul 25.

Abstract

Toxoplasmosis is a worldwide infection caused by the intracellular parasite Toxoplasma gondii. At least a third of the world human population are infected with the parasite, making it one of the most successful parasitic infections. Primary maternal infection may cause health-threatening sequelae for the foetus, or even cause death in uterus. Reactivation of a latent infection in immune deficiency conditions such as AIDS and organ transplantation can cause fatal toxoplasmic encephalitis. Toxoplasmosis is a major cause of retinochoroiditis, especially in individuals with an impaired immune system. Despite the usually 'asymptomatic' nature of the infection, a significant burden imposed by the parasite necessitates the implementation of effective means for the prevention, diagnosis, and management of this disease. Laboratory diagnosis, i.e. PCR and serologic assays, plays the main role in the diagnosis of congenital infection and assists in the confirmatory diagnosis of toxoplasmic encephalitis and ocular toxoplasmosis. Here, we briefly review general aspects of Toxoplasma infection and focus on the diagnostic methods currently used in medical laboratories for the diagnosis of Toxoplasma infection.

摘要

弓形虫病是一种由细胞内寄生虫刚地弓形虫引起的全球性感染。全球至少三分之一的人口感染了这种寄生虫,使其成为最常见的寄生虫感染之一。孕妇初次感染可能会给胎儿带来危及健康的后遗症,甚至导致胎儿在子宫内死亡。在艾滋病和器官移植等免疫缺陷情况下,潜伏感染的激活可导致致命的弓形虫性脑炎。弓形虫病是视网膜脉络膜炎的主要病因,尤其是在免疫系统受损的个体中。尽管这种感染通常具有“无症状”的特点,但寄生虫造成的重大负担使得有必要采取有效的预防、诊断和管理该疾病的措施。实验室诊断,即聚合酶链反应(PCR)和血清学检测,在先天性感染的诊断中起主要作用,并有助于弓形虫性脑炎和眼部弓形虫病的确诊。在此,我们简要回顾弓形虫感染的一般情况,并重点介绍医学实验室目前用于诊断弓形虫感染的诊断方法。

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