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一例罕见的低丙种球蛋白血症超感染病例。

A Rare Case of Hyperinfection from Hypogammaglobulinemia.

作者信息

Reddy Paidi Ramakrishna, Thomas Sujith M, Rajalakshmi A, Vijayan Deepak, Raman Muraleedharan

机构信息

Department of Critical Care, Kerala Institute of Medical Sciences, Thiruvananthapuram, Kerala, India.

Department of Internal Medicine, Division of Infectious Disease, Kerala Institute of Medical Sciences, Thiruvananthapuram, Kerala, India.

出版信息

Indian J Crit Care Med. 2017 Jul;21(7):466-468. doi: 10.4103/ijccm.IJCCM_139_17.

DOI:10.4103/ijccm.IJCCM_139_17
PMID:28808370
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5538098/
Abstract

infection can range from asymptomatic eosinophilia to disseminated disease. Common in tropical and subtropical nations, it can lead to hyperinfection, an autoinfection increasing parasitic burden in immunocompromised. Cell-mediated immunity is important in combating parasite infection. We present a case of hyperinfection in hypogammaglobulinemia which was refractory to conventional treatment but responded to immunoglobulin administration with complete resolution indicating role of humoral immunity also.

摘要

感染范围可从无症状嗜酸性粒细胞增多到播散性疾病。该病在热带和亚热带国家很常见，可导致超感染，即一种自身感染，会增加免疫功能低下者体内的寄生虫负担。细胞介导的免疫在对抗寄生虫感染中很重要。我们报告一例低丙种球蛋白血症患者发生超感染的病例，该患者对传统治疗无效，但静脉注射免疫球蛋白后症状完全缓解，这也表明了体液免疫的作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/770b/5538098/321acc432cce/IJCCM-21-466-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/770b/5538098/cb8ff54b4dc3/IJCCM-21-466-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/770b/5538098/321acc432cce/IJCCM-21-466-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/770b/5538098/cb8ff54b4dc3/IJCCM-21-466-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/770b/5538098/321acc432cce/IJCCM-21-466-g002.jpg

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Pulmonary Strongyloidiasis Masquerading as Exacerbation of Chronic Obstructive Pulmonary Disease.伪装成慢性阻塞性肺疾病加重的肺类圆线虫病
Tuberc Respir Dis (Seoul). 2016 Oct;79(4):307-311. doi: 10.4046/trd.2016.79.4.307. Epub 2016 Oct 5.
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