Jacobs P
S Afr Med J. 1981 Nov 14;60(20):784-5.
An immunologically competent adult with acquired toxoplasmosis presented with inguinal lymphadenopathy and associated lymphatic and venous obstruction. A diagnosis of toxoplasmosis was made by demonstration the presence of the trophozoite, and response to therapy, while satisfactory, was slow. Recrudescence of lymphadenopathy was associated with a change from reactive lymphadenitis to angioimmunoblastic lymphadenopathy. There was a dramatic improvement following local therapy and systemic corticosteroids and chlorambucil. The patient remains well.
一名获得性弓形虫病的免疫功能正常成年人出现腹股沟淋巴结病,并伴有相关的淋巴和静脉阻塞。通过证实滋养体的存在以及对治疗的反应做出了弓形虫病的诊断,尽管治疗反应令人满意,但起效缓慢。淋巴结病的复发与从反应性淋巴结炎转变为血管免疫母细胞性淋巴结病有关。局部治疗以及全身使用皮质类固醇和苯丁酸氮芥后有显著改善。患者情况良好。