婴幼儿弓形虫脑炎1例。

G Krajewska, M Trizio, L Margari, G M Russo
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引用次数: 0

摘要

1例2岁女童发生弥漫性脑炎,伴脉络膜视网膜炎活化,临床和血清学分析认为是由弓形虫感染引起。小患者临床不仅表现为典型的眼部病变(双侧绒毛膜视网膜炎),还表现为神经系统并发症,包括昏迷状态,一些古老的反射,弥漫性和明显的运动亢进,右半瘫和频繁的癫痫发作。经螺旋霉素和可的松治疗,脑炎和急性眼部炎症得到部分缓解。这可能是先天性脑弓形虫病再激活的一个例子。据我们所知,类似的事件发生在两个孩子身上。
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[A case of toxoplasma encephalitis in infancy].

Diffuse encephalitis occurred in a 2 year old girl, with activation of a chorioretinitis, which on clinical and serological grounds was taken to be caused by toxoplasma infection. The small patient presented clinically not only typical ocular lesions (bilateral chorioretinitis) but also neurological complications with status comatosus with some archaic reflexes, diffuse and marked hyperkinesis, right hemiparesis, and frequent epileptic seizures. The encephalitis and the acute ocular inflammation were partially resolved by treatment with spiramycin and cortisone. This is, presumably, an example of reactivation of congenital cerebral toxoplasmosis. A similar course of events was reported--as far as we know--in only two children.

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