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非洲锥虫病:治疗引发的脑部侵袭与脑炎

African trypanosomiasis: treatment-induced invasion of brain and encephalitis.

作者信息

Schmidt H, Bafort J M

出版信息

Am J Trop Med Hyg. 1985 Jan;34(1):64-8. doi: 10.4269/ajtmh.1985.34.64.

DOI:10.4269/ajtmh.1985.34.64
PMID:3882013
Abstract

Histological sections of the brain from Microtus montanus infected with Trypanosoma rhodesiense and treated after the initial infection period showed that trypanosomes promptly invade the brain tissue and induce a severe encephalitis within a very short time. These findings suggest that the brain invasion and encephalitis that occur after treatment in sleeping sickness must be considered an effect of the treatment. The results illustrate that the brain invasion is probably not hematogenic but rather due to a process of parasite migration from the subarachnoidal space over the Virchow-Robin spaces into the brain.

摘要

对感染罗德西亚锥虫的蒙塔努斯田鼠在初始感染期后进行治疗,其脑组织的组织学切片显示,锥虫迅速侵入脑组织,并在极短时间内引发严重脑炎。这些发现表明,昏睡病治疗后发生的脑部侵袭和脑炎必须被视为治疗的一种效应。结果表明,脑部侵袭可能不是血源性的,而是由于寄生虫从蛛网膜下腔通过维氏-罗宾间隙迁移到大脑的过程所致。

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引用本文的文献

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Transmigration of across an blood-cerebrospinal fluid barrier.[物质名称]穿过[屏障名称]血脑脊髓液屏障的迁移。 需注意,原文中“across an blood-cerebrospinal fluid barrier”存在信息缺失,这里用[物质名称]和[屏障名称]表示原文中未明确的部分。
iScience. 2022 Mar 1;25(4):104014. doi: 10.1016/j.isci.2022.104014. eCollection 2022 Apr 15.
2
Late stage infection in sleeping sickness.晚期昏睡病感染。
PLoS One. 2012;7(3):e34304. doi: 10.1371/journal.pone.0034304. Epub 2012 Mar 27.
3
African trypanosomiasis: haematogenic brain parasitism early in experimental infection through bypassing the blood-brain barrier, with considerations on brain trypanosomiasis in man.
Parasitol Res. 1987;73(1):15-21. doi: 10.1007/BF00536331.
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Immunopathology of experimental African sleeping sickness: detection of cytokine mRNA in the brains of Trypanosoma brucei brucei-infected mice.实验性非洲昏睡病的免疫病理学:检测布氏布氏锥虫感染小鼠大脑中的细胞因子mRNA
Infect Immun. 1991 Dec;59(12):4636-40. doi: 10.1128/iai.59.12.4636-4640.1991.