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迟发性先天性弓形体病伴巨脑畸形的双卵双胎:偶然发现白瞳后的病例报告

Late Diagnosis of Congenital Toxoplasmosis with Macrocephaly in Dizygotic Twins after Incidental Detection of Leukocoria: A Case Report.

机构信息

Division of Infectious Diseases, Department of Pediatrics, Children's Hospital of Philadelphia, Philadelphia, PA.

Dr Jack S. Remington Laboratory for Specialty Diagnostics, National Reference Center for the Study and Diagnosis of Toxoplasmosis Palo Alto Medical Foundation, Palo Alto, CA.

出版信息

J Pediatr. 2021 Sep;236:301-306. doi: 10.1016/j.jpeds.2021.05.040. Epub 2021 May 20.

Abstract

Untreated congenital toxoplasmosis remains an important cause of neurologic and ocular disease worldwide. However, congenitally infected infants may not have signs and symptoms their physicians recognize, leading to delayed diagnosis and missed opportunities for treatment. We describe a pair of twins diagnosed with congenital toxoplasmosis at 11 months of age following incidental detection of leukocoria in one twin.

摘要

未经治疗的先天性弓形虫病仍然是全世界导致神经和眼部疾病的一个重要原因。然而,先天性感染的婴儿可能没有其医生能够识别的体征和症状,导致诊断延迟和错失治疗机会。我们描述了一对双胞胎,在其中一个双胞胎偶然发现白瞳后,于 11 个月大时被诊断出患有先天性弓形虫病。

相似文献

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Discordant prenatal diagnosis of congenital toxoplasmosis in a dizygotic pregnancy.
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本文引用的文献

1
Outcomes of hydrocephalus secondary to congenital toxoplasmosis.先天性弓形虫病继发脑积水的结局
J Neurosurg Pediatr. 2019 Sep 6;24(5):601-608. doi: 10.3171/2019.6.PEDS18684. Print 2019 Nov 1.
2
Imaging of congenital central nervous system infections.先天性中枢神经系统感染的影像学检查
Pediatr Radiol. 2018 Apr;48(4):513-523. doi: 10.1007/s00247-018-4092-1. Epub 2018 Mar 17.
5
Laboratory Diagnosis of Congenital Toxoplasmosis.先天性弓形虫病的实验室诊断
J Clin Microbiol. 2016 Oct;54(10):2448-54. doi: 10.1128/JCM.00487-16. Epub 2016 May 4.
10
Ocular manifestations of congenital toxoplasmosis.先天性弓形虫病的眼部表现。
Eye (Lond). 2010 Apr;24(4):528-34. doi: 10.1038/eye.2009.140. Epub 2009 Jun 12.

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