Sakuma Y, Takagi T, Fukuda Y
No To Shinkei. 1977 Oct;29(10):1093-101.
Two autopsy cases of adult central nervous system toxoplasmosis were reported. Two cases treated with immunosuppressive agents and corticosteroids under a diagnosis of Hodgkin's disease were considered to be an acquired CNS toxoplasmosis associated with the underlying diseases. The first case, a 73 year old woman with Hodgkin's disease, showed toxoplasma lesions in the cerebrum. The second case, a 22 year old man with pulmonary tuberculosis, showed toxoplasma lesions in the cerebrum, basal ganglion, thalamus, cerebellum, pons, and medulla oblongatta. Each toxoplasma lesion showed small hemonecrotic softening. Toxoplasma cysts were seen around the hemonecrotic lesion. Encysted toxoplasma organisms were examined in detail with electron microscope.
报告了两例成人中枢神经系统弓形虫病尸检病例。两例均在诊断为霍奇金病的情况下接受免疫抑制剂和皮质类固醇治疗,被认为是与基础疾病相关的后天性中枢神经系统弓形虫病。第一例为一名73岁患有霍奇金病的女性,大脑出现弓形虫病变。第二例为一名22岁患有肺结核的男性,大脑、基底神经节、丘脑、小脑、脑桥和延髓均出现弓形虫病变。每个弓形虫病变均表现为小的出血性坏死软化。在出血性坏死病变周围可见弓形虫囊肿。对包囊内的弓形虫生物体进行了电子显微镜详细检查。