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国内自1964年谢天华首先报道人体弓浆虫病以来,迄今仅报道20例。1985年6月24日我们于1例胸水标本中检出弓浆虫体,兹报道如下。患者,男性,33岁,北京籍,因咳嗽1个月,发烧3天,右侧胸腔积液而入院。既往无养猫或生食习惯。体检:急性病容,心律整,心音亢进,右侧胸腔积液,肝触及1cm,脾末及,四肢未见异常。胸片示右侧胸腔中等量积液,肺无著变。B超示肝右叶厚12.5cm,深吸时肋下3.7cm。OT 1:2000(++)。经抗痨治疗7周,病情无缓解。6月24日,胸水常规:外观黄色微浊,比重1.020,细胞数900/mm~3,单核97%,多核3%,沉渣涂片瑞氏染色,油镜观察,见多量弓浆虫滋养体。
Since 1964, Xie Tianhua first reported human Toxoplasma so far, only 20 cases reported so far. On June 24, 1985, we detected Toxoplasma in one case of pleural effusion, which is reported below. Patient, male, 33 years old, Beijing nationality, admitted to hospital for cough for 1 month, fever for 3 days, right pleural effusion. Past without a cat or raw food habits. Physical examination: acute disease, heart rhythm, heart sound hyperthyroidism, right pleural effusion, liver reach 1cm, spleen and end, no abnormalities in limbs. The chest radiograph showed a moderate amount of effusion on the right chest, with no change in the lungs. B ultrasound showed right lobe 12.5cm thick, deep suction when the ribs 3.7cm. OT 1: 2000 (++). Anti-tuberculosis treatment for 7 weeks, no remission. June 24th, pleural fluid routine: the appearance of yellow turbidity, the proportion of 1.020, the number of cells 900 / mm ~ 3, mononuclear 97%, multinucleated 3%, sediment smear Wright staining, body.