Pathological involvement of human gastrocnemius muscle in leptospirosis (a study in 63 patients).

J B Guedes e Silva, L M Paiva, J J Pereira da Silva, B A de Souza Netto
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Abstract

The authors discuss the microscopic changes in gastrocnemius muscle in Leptospirosis in 63 patients. The hyaline necrosis frequently associated to a hemorrhagic infiltrate represented the most important feature in the lesional picture of the disease. Other findings were swelling, loss of cross striations, vacuolation and regenerative changes of muscle fibres. This last one was represented by multinucleated sarcoblasts and the presence of thin and strongly basophilic new-formed fibres. Interstitial hemorrhage was frequently seen and an inflammatory afflux was only rarely observed. This histological picture was considered as characteristic and highly significant for the diagnosis of Leptospirosis.

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钩端螺旋体病中人腓肠肌的病理累及(63例患者的研究)。
作者讨论了63例钩端螺旋体病患者腓肠肌的显微变化。透明坏死常伴有出血性浸润,是本病病变图像中最重要的特征。其他发现包括肿胀、横纹丧失、空泡化和肌肉纤维的再生变化。后者以多核成肌细胞和薄而强亲碱性的新形成纤维的存在为代表。间质性出血是常见的,而炎症流入是罕见的。该组织学图被认为是钩端螺旋体病的特征性表现,对钩端螺旋体病的诊断具有高度意义。
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[Ultrastructural aspects of keratinization of the rat oral mucosa. II. Soft palate (author's transl)]. Pathological involvement of human gastrocnemius muscle in leptospirosis (a study in 63 patients). Studies on phage internal proteins. VI. Interaction of bacteriophage T4 internal proteins with T4 DNA in vivo and in vitro. Studies of the persistence of infectivity of Trypanosoma cruzi. III. Effect of human sweat. [Dynamic evaluation of prolactin secretion in acromegaly (author's transl)].
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