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[肾移植患者的脑弓形虫病。1例临床病例及文献复习]

[Cerebral toxoplasmosis in a kidney transplant patient. A clinical case and review of the literature].

作者信息

da Cunha S, Ferreira E, Ramos I, Martins R, de Freitas L, Borges J L, Côrte-Real R, Mota A, Meliço-Silvestre A, Linhares-Furtado A

机构信息

Clínica de Doenças Infecciosas, Serviço de Urologia e Transplantação, Hospitais da Universidade de Coimbra.

出版信息

Acta Med Port. 1993 Mar-Apr;6(3-4):157-63.

PMID:8317235
Abstract

Infection caused by Toxoplasma gondii is a frequent event in Portugal. When this occurs in immunocompetent individuals it is rarely a matter of concern; the contrary occurs with immunosuppressed patients or in pregnancy. Transplant patients are treated with immunosuppressive drugs which mainly disturb their mechanisms of cellular immunity, and that opens the way to infections by opportunistic intracellular microorganisms. We recently treated a renal transplant patient who suffered from cerebral toxoplasmosis, and this provided an opportunity for a review of the other 20 patients reported in medical literature to date.

摘要

由刚地弓形虫引起的感染在葡萄牙是一种常见事件。当这种情况发生在免疫功能正常的个体中时,很少会引起关注;而在免疫抑制患者或孕期则情况相反。移植患者接受免疫抑制药物治疗,这些药物主要干扰其细胞免疫机制,从而为机会性细胞内微生物感染开辟了道路。我们最近治疗了一名患有脑弓形虫病的肾移植患者,这为回顾迄今为止医学文献中报道的其他20例患者提供了机会。

相似文献

1
[Cerebral toxoplasmosis in a kidney transplant patient. A clinical case and review of the literature].[肾移植患者的脑弓形虫病。1例临床病例及文献复习]
Acta Med Port. 1993 Mar-Apr;6(3-4):157-63.
2
Cerebral toxoplasmosis after renal transplantation. Case report and review.肾移植后脑弓形虫病。病例报告与文献复习。
Acta Med Port. 1994 Dec;7 Suppl 1:S61-6.
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Severe cerebral toxoplasma infection cannot be excluded by a normal CT scan.不能通过正常的CT扫描排除严重的脑弓形虫感染。
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IgG4 specific to Toxoplasma gondii excretory/secretory antigens in serum and/or cerebrospinal fluid support the cerebral toxoplasmosis diagnosis in HIV-infected patients.血清和/或脑脊液中针对弓形虫排泄/分泌抗原的 IgG4 支持 HIV 感染患者的脑弓形虫病诊断。
J Immunol Methods. 2013 Sep 30;395(1-2):21-8. doi: 10.1016/j.jim.2013.06.005. Epub 2013 Jun 26.
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Disseminated toxoplasmosis infection 20 years post kidney transplant. 肾移植 20 年后播散性弓形虫感染。
BMJ Case Rep. 2024 Sep 24;17(9):e260412. doi: 10.1136/bcr-2024-260412.
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[Atypical cerebral toxoplasmosis after kidney transplantation].
Rofo. 2011 Aug;183(8):762-4. doi: 10.1055/s-0031-1273246. Epub 2011 Mar 25.
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Evolution and significance of Toxoplasma gondii antibody titers in kidney transplant recipients.
Transplant Proc. 1992 Dec;24(6):2754-5.
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AIDS-related cerebral toxoplasmosis with hyperintense foci on T1-weighted MR images: a case report.艾滋病相关脑弓形虫病在T1加权磁共振图像上有高信号灶:一例报告
J Infect. 2006 Oct;53(4):e167-70. doi: 10.1016/j.jinf.2005.12.006. Epub 2006 Jan 26.
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Movement disorders due to cerebral Toxoplasma gondii infection in patients with the acquired immunodeficiency syndrome (AIDS).获得性免疫缺陷综合征(艾滋病)患者因脑部弓形虫感染引起的运动障碍。
Acta Neurol Belg. 1992;92(3):148-56.
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Multiple intracranial space-occupying lesions in a renal transplant recipient from an area endemic for tuberculosis (TB): TB vs. toxoplasmosis.一名来自结核病(TB)流行地区的肾移植受者出现多处颅内占位性病变:结核与弓形虫病的鉴别
Transpl Infect Dis. 2014 Oct;16(5):838-42. doi: 10.1111/tid.12262. Epub 2014 Jul 7.

引用本文的文献

1
Infectious disease risks in pediatric renal transplantation.小儿肾移植中的传染病风险。
Pediatr Nephrol. 2019 Jul;34(7):1155-1166. doi: 10.1007/s00467-018-3951-1. Epub 2018 Apr 6.