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弓形虫病

Toxoplasmosis.

作者信息

Moorhouse D E

出版信息

Aust Fam Physician. 1977 Dec;6(12):1537-40.

PMID:603449
Abstract

Recent research has shown that Toxoplasma gondii, the cause of human toxoplasmosis, is a protozoan close to the genus Isospora, whose life cycle involves cats as the definitive host, and other mammals, including man, and birds as intermediate hosts. Cats shed oocysts in their faeces; these are infective to the intermediate hosts when ingested. But the non-felid intermediate hosts can also become infected by eating other intermediate hosts. Probably most human infections occur in this manner and result from eating raw or insufficiently cooked meats. Most people become infected during their life time, but most infections are benign and unnoticed. Occasionally the disease picture may simulate infectious mononucleosis. However, in intrauterine or neonatal infections the disease may be most severe and chorioretinitis, encephalomyelitis, hydrocephalus or microcephaly may result. Diagnosis depends upon demonstrating the parasite in biopsy material or through changing titres in serological tests.

摘要

最近的研究表明,导致人类弓形虫病的弓形虫是一种与等孢球虫属相近的原生动物,其生命周期以猫作为终末宿主,包括人类在内的其他哺乳动物以及鸟类作为中间宿主。猫通过粪便排出卵囊;被中间宿主摄入后,这些卵囊具有感染性。但非猫科中间宿主也可能通过食用其他中间宿主而感染。可能大多数人类感染都是以这种方式发生的,并且是由于食用了生的或未充分煮熟的肉类。大多数人在一生中都会被感染,但大多数感染是良性的且未被注意到。偶尔,疾病表现可能类似传染性单核细胞增多症。然而,在子宫内或新生儿感染中,疾病可能最为严重,可能导致脉络膜视网膜炎、脑脊髓炎、脑积水或小头畸形。诊断取决于在活检材料中发现寄生虫或通过血清学检测中滴度的变化。

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