Krajewska G, Trizio M, Margari L, Russo G M
Riv Patol Nerv Ment. 1982 Jan-Feb;103(1):33-9.
Diffuse encephalitis occurred in a 2 year old girl, with activation of a chorioretinitis, which on clinical and serological grounds was taken to be caused by toxoplasma infection. The small patient presented clinically not only typical ocular lesions (bilateral chorioretinitis) but also neurological complications with status comatosus with some archaic reflexes, diffuse and marked hyperkinesis, right hemiparesis, and frequent epileptic seizures. The encephalitis and the acute ocular inflammation were partially resolved by treatment with spiramycin and cortisone. This is, presumably, an example of reactivation of congenital cerebral toxoplasmosis. A similar course of events was reported--as far as we know--in only two children.
一名2岁女童发生了弥漫性脑炎，同时脉络膜视网膜炎被激活，根据临床和血清学检查结果，认为是由弓形虫感染引起的。这名小患者临床上不仅出现了典型的眼部病变（双侧脉络膜视网膜炎），还出现了神经系统并发症，包括昏迷状态伴一些原始反射、弥漫性且明显的运动亢进、右侧偏瘫以及频繁的癫痫发作。通过使用螺旋霉素和可的松治疗，脑炎和急性眼部炎症得到了部分缓解。据推测，这是先天性脑弓形虫病复发的一个例子。据我们所知，仅有两名儿童报告了类似的病程。
