Wang P Y, Zhen T M, Wang Z Z
Shandong Institute of Parasitic Diseases, Jining.
Zhonghua Yi Xue Za Zhi. 1995 Feb;75(2):107-9, 128.
We described the results of ten-year observations on the clinical manifestations, pathology, immunity to filariasis and aetiological biology of filariae in three volunteers (first author and his family members) who were inoculated experimentally with infective larvae of periodic Brugia malayi in 1981 and without use of any antifilariasis drugs. Microfilariae were first detected at 41 and 46 weeks after inoculation in two subjects and remained detectable in a small number until 8 and 8.5 years after infection. Eosinophilia occurred mainly before and at the initial stage of microfilaremia. The increase in the lymphocytes to some extent was observed at 2-156 weeks after infection. Biopsy at inoculation site 6 weeks after inoculation showed the lymph node with the infiltration of inflammatory cells, mainly eosinocytes, lymphocytes and monocytes. Lymphangiotasis and lymphostasis were observed in both limbs and pelvic regions by lymphangiogram taken 11 weeks after inoculation. Antibody against B. malayi first appeared at 2-5 weeks after infection and reached the highest at 12-56 weeks and thereafter declined gradually. Two subjects turned to be antibody free 10 years after infection. E-rosette forming lymphocytes became lower than normal at 11 weeks and recovered to normal within 10 years after infection.
我们描述了对三名志愿者(第一作者及其家庭成员)进行的十年观察结果,这些志愿者于1981年经实验接种了周期型马来布鲁线虫的感染性幼虫,且未使用任何抗丝虫病药物,观察内容包括临床表现、病理学、丝虫病免疫及丝虫的病原生物学。两名受试者在接种后41周和46周首次检测到微丝蚴,少数微丝蚴在感染后8年和8.5年仍可检测到。嗜酸性粒细胞增多主要发生在微丝蚴血症之前及初期。感染后2至156周观察到淋巴细胞有一定程度的增加。接种后6周在接种部位进行活检,显示淋巴结有炎性细胞浸润,主要为嗜酸性粒细胞、淋巴细胞和单核细胞。接种后11周进行淋巴管造影,观察到双下肢及盆腔区域有淋巴管扩张和淋巴淤滞。抗马来布鲁线虫抗体在感染后2至5周首次出现,在12至56周达到最高水平,此后逐渐下降。两名受试者在感染10年后抗体转阴。E花环形成淋巴细胞在11周时低于正常水平,感染后10年内恢复正常。