Necrotizing toxoplasmic encephalitis in a child with the X-linked hyper-IgM syndrome

被引:19
作者
Tsuge, I [1 ]
Matsuoka, H [1 ]
Nakagawa, A [1 ]
Kamachi, Y [1 ]
Aso, K [1 ]
Negoro, T [1 ]
Ito, M [1 ]
Torii, S [1 ]
Watanabe, K [1 ]
机构
[1] Nagoya Univ Hosp, Dept Pathol, Nagoya, Aichi 466, Japan
关键词
hyper-IgM syndrome; CD40; ligand; necrotizing toxoplasmic encephalitis;
D O I
10.1007/s004310050925
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We report on a 9-year-old boy with the hyper-IgM syndrome who presented with rapid impairment of consciousness. The brain CT scan showed multiple round lucencies, and the brain histology revealed necrotizing toxoplasmic encephalitis. This patient, whose CD40/CD40 ligand system was impaired, indicates the importance of this system for defence against toxoplasmic infection. Conclusion Although disseminated toxoplasmosis is a rare complication of the hyper-IgM syndrome, it must be included in the differential diagnosis of infections.
引用
收藏
页码:735 / 737
页数:3
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