Purtilo D T, Connor D H
Arch Dis Child. 1975 Feb;50(2):149-52. doi: 10.1136/adc.50.2.149.
The clinicopathological features of 25 children who died with protein-calorie malnutrition were studied. All but four subjects were found at necropsy to have nutritional thymectomy and all but 3 died of infectious diseases. The infectious agents were chiefly intracellular micro-organisms including miliary tuberculosis, Herpes simplex, varicella, measles, Pneumocystis carinii, and Plasmodium falciparum. Staphylococcal infections, salmonellosis, shigellosis, strongyloidiasis, and hookworm were other significant infectious agents. Nutritionally acquired defective immunity, especially cell-mediated immunity, probably permitted these infectious agents to multiply and to disseminate widely.
对25例死于蛋白质 - 热量营养不良的儿童的临床病理特征进行了研究。尸检发现,除4例受试者外,其余均有营养性胸腺萎缩,除3例之外,其余均死于传染病。感染因子主要是细胞内微生物,包括粟粒性结核、单纯疱疹、水痘、麻疹、卡氏肺孢子虫和恶性疟原虫。葡萄球菌感染、沙门氏菌病、志贺氏菌病、粪类圆线虫病和钩虫病是其他重要的感染因子。营养性获得性免疫缺陷,尤其是细胞介导免疫,可能使这些感染因子得以繁殖并广泛传播。