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报道美国纽约地区9例播散性弓形虫病尸检材料,均有脑部病变,8例累及心脏,4例累及肺脏,尚见胰腺、消化道、甲状腺、淋巴结、泌尿生殖器官等受累。其中弓形虫性脑炎9例,心肌炎4例,肺炎3例,胰腺炎2例。仅脑炎、肺炎产牛症状,经脑CT扫描、弓形虫抗体测定提示本病,并经涂片、骨髓活检和尸检证实,以查见弓形虫为依据。临床以神经精神症状和肺部感染症状为主。病变分为静止(潜伏)、组织坏死、炎症反应及增生修复四种状态,强调囊型弓形虫形态学识别的诊断意义。
Reported 9 cases of disseminated toxoplasmosis in the New York area of the United States autopsy materials, all have brain lesions, 8 cases involving the heart, 4 cases involving the lungs, but also the pancreas, digestive tract, thyroid, lymph nodes, genitourinary tract involvement. Toxoplasma gondii in 9 cases, myocarditis in 4 cases, pneumonia in 3 cases, pancreatitis in 2 cases. Only encephalitis, pneumonia cattle symptoms, brain CT scan, Toxoplasma gondii antibody test prompted the disease, and smear, bone marrow biopsy and autopsy confirmed in order to check the Toxoplasma gondii based. Clinical neuropsychiatric symptoms and symptoms of lung infection based. Lesions are divided into static (latent), tissue necrosis, inflammatory response and proliferation of four states, emphasizing the diagnostic significance of morphological identification of Toxoplasma gondii.