摘要
目的分析艾滋病（AIDs）合并弓形体虫脑炎的MRI表现，评价MRI诊断艾滋病合并弓形体虫脑炎的准确性。方法回顾分析资料完整的26例艾滋病合并弓形体虫脑炎的MRI表现。结果26例病灶在T1w为中等偏低信号，T2W上表现高信号，24例病灶边缘中等稍高T1、中等偏低T2信号环；病灶形态为类圆形，周围大片水肿，病灶单环或多环样强化；26例均伴随有不同程度副鼻窦炎；5例病灶单发；21例病灶多发。MRI检查准确诊断艾滋病合并弓形体脑炎20例，误诊6例。结论MRI检查对艾滋病合并弓形体脑炎的诊断具有重要价值。
参考文献6
-
1Gonzalez RG. Imaging neuro AIDS [J]. AJNR, 2004, 25 (2):167-168.
-
2Luft B J, Remington JS.Toxoplasmmic encephalitis in encephalitis in patients with the acquired immunodeficiency syndrome [J]. N Engl J Med,1992,329( 14): 995-1000.
-
3方昕.现代内科学[M].第1版.北京:人民军医出版社,1996:878-884.
-
4栾春民.艾滋病伴弓形体脑病的CT诊断[J].医药论坛杂志,2007,28(11):45-47. 被引量：3
-
5沈银忠,卢洪洲.艾滋病合并常见原虫感染的诊断治疗[J].中国寄生虫学与寄生虫病杂志,2008,26(2):146-148. 被引量：9
-
6Provezale JM,Jinkins R.Brain and spine imaging findings in AIDS patient [J].Radiol Clin North Am,1997,35 (5): 1127-1166.
二级参考文献34
-
1汪文胜,郭耀平,宋亭,杨学良,李松涛,刘劲峰.弓形体脑病的MRI表现[J].实用放射学杂志,2005,21(6):582-584. 被引量：12
-
2沈银忠,潘孝彰.艾滋病的神经系统病变[J].实用全科医学,2007,5(3):248-250. 被引量：12
-
3Siobhan M,Murphy.HIV infection and AIDS[M].天津:天津科技翻译出版公司出版,2002.103.
-
4Aibrecht H,Skorde,Arastehk,et al.Disseminated toxoplasmosis in AIDS patients-report of 16 cases[J].Scand Jinfect Disease,1995,27(1):71-74.
-
5Anne G.Diagnostic Imaging Brain[M].Canada:A medical references publishing company,2004,70:1-8.
-
6AAN Quality standards subcommittee.Evaluation and management of intracranial mass lesions in AIDS[J].Neurology,1998,50:25-26.
-
7Laurie A,Loevner.Case Review brain Imaging[M].USA:craphic word,Inc,1999:118.
-
8Erust TM,Chang L,Witt MD,et al.Cerebral toxoplasmosis and lymphoma in AIDS[J].Perfusion MR imaging experience in Patients[J].Radiology,1998,208:663-669.
-
9Kessler LS,Ruiz A,Donovan post M J,Ganz W1.Thallium-201 brain SPECT of Lymphoma in AIDS Patients:pitfalls and technique optimization[J].AJNR AMJ Neuroradiol,1998,19:1 105-1 109.
-
10Fung HB,Kirschenhaum HL.Treatment regimens for patients with toxoplasmic encephalitis[J].Clinical therapentics,1996,18:1 037-1 056.
共引文献9
-
1邱春红,丘春东.艾滋病患者真菌感染的常见类型及其鉴别特征[J].检验医学与临床,2009,6(14):1214-1215. 被引量：4
-
2吕亚萍,黄葵,马雪梅,黄可祥,兰庆茂,黄忠道,朱楠,黄菊.艾滋病合并弓形体虫脑炎的MRI表现[J].实用放射学杂志,2011,27(7):989-991. 被引量：12
-
3李晓灵,曹玲,余昌秀,何盛华,蔡琳,周锐锋.艾滋病患者合并弓形虫感染状况研究[J].四川医学,2012,33(4):678-680. 被引量：13
-
4夏菁,彭鸿娟.刚地弓形虫毒力调节因子研究进展[J].中国寄生虫学与寄生虫病杂志,2015,33(4):297-300. 被引量：10
-
5马薇,范学文.人类免疫缺陷病毒相关中枢神经系统机会性感染[J].中国现代神经疾病杂志,2016,16(8):475-480.
-
6赵成磊,王海波,樊婷婷,周海婷.艾滋病合并脑部感染性病变的CT表现[J].哈尔滨医科大学学报,2017,51(6):540-542.
-
7李朝,邹丰才,刘洋.中国HIV/AIDS患者合并感染弓形虫病研究进展[J].中国公共卫生,2019,35(4):504-507. 被引量：7
-
8田盼,杨丽,付建敏,梁花敏,范学文.脑脊液二代测序诊断艾滋病合并弓形虫脑炎1例报告[J].中风与神经疾病杂志,2020,37(4):378-379. 被引量：3
-
9秦源,刘华,沈玉娟.HIV/AIDS合并毕氏肠微孢子虫感染的研究进展[J].中国寄生虫学与寄生虫病杂志,2022,40(6):760-766. 被引量：1
同被引文献19
-
1Chen ZW, Gao JM, Huo XX, et al. Genotyping of Toxoplasma gondii isolates from cats in different geographic regions of China [J]. VetParasitol, 2011, 183(1 2): 166 70.
-
2Su C, Khan A, Zhou P, et al. Globally diverse To:coplasma gon dii isolates comprise six major clades originating from a small number of distinct ancestral lineages[J]. Proc Natl Aead Sci U S A, 2012, 109(15).. 5844 9.
-
3Ajzenberg D, Cogn N, Paris L, et al. Genotype of 86 To'oDlas ma gondii isolates associated with human congenital toxoi01asmo- sis, and correlation with clinical findings[J]. J Infect Dis, 2002, 186(5) : G84 9.
-
4Meneceur P, Bou[douyre MA, Aubert D, et al. In vitro suscepti- bility of various genotypic strains of Toxoplasma gondii to pyrime- Ihamine, sulfadiazine, andatovaquone[J]. Antimicrob Agents Chemother, 2008, 52(4): 1269 77.
-
5C-rigg ME, Boothroyd JC. Rapid identification of virulent type I strains of the protozoan pathogen To.x'oplasma gondii by PCR-re- striction fragment length polymorphism analysis at the B1 gene [J]. J Clin Microbiol, 2001, 39(1): 398-400.
-
6Gallego C, Saavedra-Matiz C, Gomez Marin JE. Direct genoty ping of animal and human isolates of To.roplasma gondii from Colombia (South America) [J]. Acta Trop, 2006, 97(2): 161- 7.
-
7Calderaro A, Piccolo G, Gorrini C, et al. Comparison between two real-time PCR assays and a nested PCR for the detection of To:coplasmagondli[J]. ActaBiomed, 2006, 77(2): 75 80.
-
8Velmurugan GV, Dubey JP, Su C. Genotyping studies of To.to plas*na gondii isolates from Africa revealed that the archetypal clonal lineagespredominate as in North America and Europe[J]. Vet Parasitol, 2008, 155(3-4): 314 8.
-
9赵建荣,张莎,杜建平,王舒,王大勇.艾滋病并发弓形虫脑炎16例分析[J].中国寄生虫学与寄生虫病杂志,2010,28(3):237-238. 被引量：4
-
10杨萱,孙燕,关琦,赵芳,赵清霞,徐丽霞.艾滋病合并中枢神经系统病变163例分析[J].中国实用神经疾病杂志,2011,14(20):12-14. 被引量：12
二级引证文献4
-
1程军霞,蒋蔚,陈永军,薛俊欣,韩阳瑞,王权.磺胺氯吡嗪钠复方对小鼠体内抗弓形虫疗效的观察[J].中国动物传染病学报,2017,25(3):54-60. 被引量：2
-
2李朝,邹丰才,刘洋.中国HIV/AIDS患者合并感染弓形虫病研究进展[J].中国公共卫生,2019,35(4):504-507. 被引量：7
-
3卓国荣,周红蕾,卢炜,魏宁,刘俊栋,高雪敏.泰州地区宠物弓形虫感染流行现状调查与防治[J].江苏农业科学,2019,47(8):191-194. 被引量：3
-
4杨孟鸿,刘燕娜.赣州地区宠物犬猫弓形虫感染检测及其防治[J].江西畜牧兽医杂志,2023(6):51-53.
-
1吕亚萍,黄葵,马雪梅,黄可祥,兰庆茂,黄忠道,朱楠,黄菊.艾滋病合并弓形体虫脑炎的MRI表现[J].实用放射学杂志,2011,27(7):989-991. 被引量：12
-
2娄桂宾,孙宇,邓来平,李福度.艾滋病并发弓形体虫脑炎MRI表现[J].中国医药指南,2013,11(13):633-634.
-
3李宏军,赵璇.艾滋病弓形体虫脑炎的影像诊断价值分析[J].医学影像学杂志,2008,18(10):1089-1091. 被引量：9
-
4姬艳琴.弓形体脑炎误诊为乙脑1例[J].实用医药杂志,1994,12(1):48-48.
-
5秦英梅,黄绍标.艾滋病合并弓形体脑炎8例临床分析[J].广西医学,2006,28(4):557-559. 被引量：1
-
6张波,王蓉美,于红,刘颖,纪树国.弥漫性泛细支气管炎[J].中华医学杂志,2005,85(5):312-312.
-
7周阿旺,夏斌.支气管哮喘与副鼻窦炎相关性探讨[J].浙江中西医结合杂志,2006,16(1):46-47.
-
8牛俊巧,王俭.MR在AIDS相关性弓形体脑炎诊断中的应用进展[J].新疆医科大学学报,2011,34(5):455-457.
-
9方凯,朱晓波,李玉方,王向波.以眩晕为首发症状的弓形体病一例报告[J].河南实用神经疾病杂志,2001,4(4):95-96.
-
10邱里宁.Kartagener综合征1例[J].湖北省卫生职工医学院学报,2002,15(1):54-54.
