Beder Duygu, Esenkaya Taşbent Fatma
Necmettin Erbakan Üniversitesi Meram Tıp Fakültesi, Tıbbi Mikrobiyoloji Anabilim Dalı, Konya, Türkiye.
Turkiye Parazitol Derg. 2020 Jun 2;44(2):94-101. doi: 10.4274/tpd.galenos.2020.6634.
Toxoplasmosis is a common infection worldwide caused by , an intracellular parasite. The prevalence of Toxoplasmosis ranges from 17.5% to 69.5% in Turkey. Toxoplasmosis is mostly asymptomatic. It may cause fetal mortality in case of vertical passage. The most common clinical findings in congenital toxoplasmosis are chorioretinitis, hydrocephalus and cerebral calcification. Another group of susceptible patients for are immunesuppressive patients. Reactivation of a latent infection in the case of immunodeficiency can lead to fatal toxoplasmic encephalitis. Serological diagnostic methods based on the detection of specific antibodies for are the most commonly used diagnostic methods. However, it may be difficult to interpret the results in pregnant women, neonates, and the patients receiving treatment. It is stated that using more than one method together to improve the reliability of the diagnosis is a more accurate approach. In the prenatal diagnosis of congenital toxoplasmosis, in patients with immunodeficiency, in ocular toxoplasmosis, the polymerase chain reaction is seen as having a higher sensitivity. The aim of this review is to present the general features, diagnostic methods and current approaches in toxoplasma infection, an important public health problem.
弓形虫病是一种由细胞内寄生虫弓形虫引起的全球常见感染。在土耳其,弓形虫病的患病率在17.5%至69.5%之间。弓形虫病大多无症状。垂直传播时可能导致胎儿死亡。先天性弓形虫病最常见的临床症状是脉络膜视网膜炎、脑积水和脑钙化。另一类易感染弓形虫的患者是免疫抑制患者。免疫缺陷时潜伏感染的激活可导致致命的弓形虫性脑炎。基于检测弓形虫特异性抗体的血清学诊断方法是最常用的诊断方法。然而,对于孕妇、新生儿和正在接受治疗的患者,可能难以解读检测结果。据称,联合使用多种方法以提高诊断的可靠性是一种更准确的方法。在先天性弓形虫病的产前诊断、免疫缺陷患者以及眼部弓形虫病中,聚合酶链反应被认为具有更高的敏感性。本综述的目的是介绍弓形虫感染这一重要公共卫生问题的一般特征、诊断方法和当前的研究方法。