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[弓形虫性淋巴结炎——一种人畜共患病]

[Lymphadenitis toxoplasmotica--a zoonosis].

作者信息

Knöbber D, Schätzle W

出版信息

Laryngol Rhinol Otol (Stuttg). 1987 Feb;66(2):70-2.

PMID:3553786
Abstract

Between 1975 and 1985, 49 in-patients suffering from Toxoplasmosis of head and neck lymph nodes, have been treated chirurgically at the ENT clinics of the universities of Cologne and Homburg/Saar. In the collective there are as much men as women. The patients have an average age of 30 years, the anamnesis is about 3 months. The patients were complaining of swellings of lymph nodes of the angle of mandible or of the submandibular region, but without fever or other signs of infection. Typically, the lymph nodes were not fixed but mobile, hard and indolent. Blood parameters and electrolytic levels are not pathologically changed. The patients do not feel sick in general. The diagnosis is to be confirmed by serological investigations, supported by lymph node histology (Lymphadenitis Piringer-Kuchinka). In the present study, three acute cases of Toxoplasmosis with high serological titers could be diagnosed. The differential diagnosis of the lymphadenitis toxoplasmotica will be discussed.

摘要

1975年至1985年间,49例头颈部淋巴结弓形虫病住院患者在科隆大学和萨尔州洪堡大学的耳鼻喉科诊所接受了手术治疗。该群体中男女数量相同。患者平均年龄为30岁,病史约3个月。患者主诉下颌角或颌下区淋巴结肿大,但无发热或其他感染迹象。典型的情况是,淋巴结不固定,可活动,质地硬且无痛。血液参数和电解质水平无病理改变。患者总体感觉无不适。诊断需通过血清学检查确认,并得到淋巴结组织学检查(Piringer-Kuchinka淋巴结炎)的支持。在本研究中,诊断出3例血清学滴度高的急性弓形虫病病例。将讨论弓形虫性淋巴结炎的鉴别诊断。

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