Nursing infant with acquired toxoplasmosis in the first months of life - a case report.
Nursing infant with acquired toxoplasmosis in the first months of life - a case report.
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患有获得性弓形虫病的婴儿在生命的头几个月 - 病例报告。
DOI：
10.1590/s1678-9946201759063
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发表时间：
2017-08-24
影响因子：
1.9
通讯作者：
Castro AM
中科院分区：
文献类型：
--
作者：
Rezende HHA;Storchilo HR;Lima JAS;Gomes AR Júnior;Gomes TC;Souza JY;Avelino MM;Amaral WND;Vinaud MC;Castro AM
弓形虫病是由弓形虫引起的，这种感染发生在生命最初几个月的可能性通常很低，因为它的传播与饮食习惯有关。1例6个月大的哺乳婴儿，母亲血清阴性，经抗弓形虫IgA、IgM和低亲和力免疫球蛋白检测、聚合酶链式反应和小鼠生物试验确诊为急性弓形虫病。母亲和孩子之间的血清学差异导致我们就流行病学因素采访了这位母亲。在这次采访中，她报告说，她给了她2个月大的宝宝一块未煮熟的牛肉让他吮吸。一段时间后，婴儿出现发烧和颈部淋巴结炎。鉴于弓形虫病可能在出生后的头几个月感染，本报告强调了在出现发烧和淋巴结炎的哺乳婴儿中进行弓形虫病血清学调查的重要性。
Toxoplasmosis is caused by Toxoplasma gondii and the probability of this infection occurring in the first months of life is usually low because its transmission is related to eating habits. A 6-month-old nursing infant was diagnosed with acute toxoplasmosis, which was identified through anti- T. gondii IgA, IgM and low-avidity IgG serologic assays, polymerase chain reaction (PCR) and mouse bioassay test although its mother was seronegative. This serological divergence between mother and child led us to interview the mother regarding epidemiological factors. During this interview, she reported that she had given her 2-month-old baby a piece of undercooked beef to suck on. After some time, the baby presented fever and cervical lymphadenitis. This report emphasizes the importance of serological surveys of toxoplasmosis in nursing infants presenting with fever and lymphadenitis, in view of the possible acquisition of toxoplasmosis in the first months of life.