Tsinzerling A V, Shastina G V, Vydumkina S P, Pisareva T N
Arkh Patol. 1982;44(11):17-24.
In order to study the appendix involvement with respiratory viruses in appendicitis, 44 cases of this disease in patients varying in ages from 14 to 71 years were investigated at random. Light microscopy and immunofluorescent examinations of the appendix were performed. The results were compared with those of serological blood tests done in the time course. In 20 patients the role of respiratory viruses and sometimes Mycoplasma pneumoniae proved to be doubtless by a significant rise in antibody titres (4-32-fold), as a rule, without any marked manifestations on the part of the respiratory organs. This was combined with detection of the antigen of the agent in enterocytes and with structural changes of the organ typical of these infections according to the results of previous examinations of the intestinal tract in generalized acute viral respiratory infections and mycoplasmosis. In 14 patients the role of respiratory viruses seemed to be likely. They showed positive results of immunofluorescent and light microscopy examinations without a significant rise in antibody titres, however. In 7 patients the role of respiratory viruses did not seem convincing: they had positive results of either immunofluorescence or serological tests alone. Three patients had no evidence of lesions caused by respiratory viruses or mycoplasma.
为研究阑尾炎中阑尾与呼吸道病毒的关系，随机调查了44例年龄在14至71岁之间的该疾病患者。对阑尾进行了光学显微镜检查和免疫荧光检查。将结果与病程中进行的血清学血液检测结果进行比较。在20例患者中，呼吸道病毒以及有时肺炎支原体的作用通过抗体滴度显著升高（4至32倍）得到证实，通常呼吸道器官没有任何明显表现。根据先前对全身性急性病毒性呼吸道感染和支原体病肠道检查的结果，这与在肠细胞中检测到病原体抗原以及该器官典型的这些感染的结构变化相结合。在14例患者中，呼吸道病毒的作用似乎有可能。然而，他们的免疫荧光和光学显微镜检查结果呈阳性，但抗体滴度没有显著升高。在7例患者中，呼吸道病毒的作用似乎不令人信服：他们仅免疫荧光或血清学检测结果呈阳性。3例患者没有呼吸道病毒或支原体引起病变的证据。
