Choi W Y, Nam H W, Kwak N H, Huh W, Kim Y R, Kang M W, Cho S Y, Dubey J P
Department of Parasitology, School of Medicine, Catholic University of Korea, Seoul.
J Infect Dis. 1997 May;175(5):1280-2. doi: 10.1086/593702.
Two outbreaks of acute toxoplasmosis involving 8 adult patients in Korea were linked to eating uncooked pork. In the first outbreak, 3 patients developed unilateral chorioretinitis within 3 months of eating a meal consisting of raw spleen and liver of a wild pig. In the second outbreak, 5 of 11 soldiers who ate a meal consisting of raw liver of a domestic pig developed lymphadenopathy. All 8 patients had high levels of IgG Toxoplasma gondii antibodies (> or = 1:1024) in the Sabin-Feldman dye test, modified agglutination test incorporating mercaptoethanol, and latex agglutination test. T. gondii IgM antibodies persisted in these patients for several months. Most patients had a favorable response to anti-T. gondii chemotherapy with pyrimethamine and sulfanomides.
韩国发生的两起急性弓形虫病疫情涉及8名成年患者,均与食用未煮熟的猪肉有关。在第一起疫情中,3名患者在食用了一顿由野猪生脾脏和肝脏组成的饭菜后的3个月内出现了单侧脉络膜视网膜炎。在第二起疫情中,11名食用了一顿由家猪生肝脏组成的饭菜的士兵中有5人出现了淋巴结病。在Sabin - Feldman染色试验、含巯基乙醇的改良凝集试验和乳胶凝集试验中,所有8名患者的弓形虫IgG抗体水平都很高(≥1:1024)。弓形虫IgM抗体在这些患者体内持续了几个月。大多数患者对使用乙胺嘧啶和磺胺类药物进行的抗弓形虫化疗反应良好。