Laubert A, Laszig R, Flik J
Klinik und Poliklinik für HNO-Heilkunde, Medizinischen Hochschule Hannover.
HNO. 1989 Oct;37(10):432-7.
The most common clinical symptom of toxoplasmosis in adults is a cervicofacial lymphadenopathy. The cat is very important in the epidemiology of toxoplasmosis, but contact with cat excreta is most uncommon. The cause of oral transmission in adults is more likely to be eating undercooked contaminated meat containing tissue cysts, particularly raw pork. Toxoplasmosis as a cause of lymphadenopathy is an unusual, and normally postoperative, finding after parotidectomy for a "tumour". In the last 8 years we have seen ten patients with an acute toxoplasmosis infection. We report two patients showing clinical signs of a parotid gland tumour in whom we demonstrated an intraglandular toxoplasmosis lymphadenopathy before operation. We treated these patients successfully using pyrimethamine and sulphonamide, so that surgery was unnecessary.
成人弓形虫病最常见的临床症状是颈面部淋巴结病。猫在弓形虫病的流行病学中非常重要，但接触猫排泄物的情况极为罕见。成人经口传播的原因更可能是食用了含有组织包囊的未煮熟的受污染肉类，尤其是生猪肉。弓形虫病作为淋巴结病的病因，在因“肿瘤”行腮腺切除术后是一种不常见且通常是术后才出现的发现。在过去8年里，我们共接诊了10例急性弓形虫感染患者。我们报告了2例表现出腮腺肿瘤临床症状的患者，术前我们在其腺体内证实了弓形虫病淋巴结病。我们使用乙胺嘧啶和磺胺类药物成功治疗了这些患者，因此无需进行手术。
