免疫功能差 弓形蟲趁虛而入Toxoplasma gondii poor immune function will slip

免疫功能差 弓形蟲趁虛而入 【陳惠惠】一名30歲男子，先是脖子兩側淋巴結相繼腫大，數個月後又開始頭痛，到醫學中心就醫，才證實感染傳染病弓形蟲。 值得留意的是，醫院檢驗後，發現男子懷有七個月身孕的太太的檢體也呈陽性。台灣衛生署疾病管制局副局長林頂說，無法確定個案的太太究竟是何時感染，目前只能持續觀察。 今年5月，這名男子先是感到肌肉痠痛，6月中旬，脖子右側淋巴結開始腫大，左側淋巴結也跟著有異。林頂說，到了9月，男子開始出現頭痛症狀，到醫學中心就診，醫師就懷疑可能是弓形蟲感染，檢驗報告也呈陽性。這個月15日，複驗結果出爐，確認男子果真感染弓形蟲。 弓形蟲較常寄居貓身上，但男子家裡沒養貓，也無接觸野貓的紀錄，只有工作地點附近的水果攤有飼養貓。林頂說，除了誤食遭貓糞裡弓形蟲汙染的水或食物，吃到未煮熟的肉，也有可能感染弓形蟲，但弓形蟲不會人傳染給人。 但林頂說，免疫功能正常的人感染弓形蟲，通常沒有症狀，只有少數人會出現淋巴結腫大、發燒，或是倦怠、衰弱等症狀，但免疫功能差的人就要特別留意，可能出現腦膜炎、腦膿瘍，甚至因呼吸抑制而致命。 除了免疫功能較差的人要留意外，林頂說，懷孕初期孕婦感染弓形蟲，可能經由胎盤傳染胎兒，日後新生兒可能會出現心智發展遲緩、視力不良，甚至可能失明。 林頂呼籲，食用肉類時，至少要經過加熱，養貓民眾也不要餵貓生肉，應使用乾飼料、熟食。貓糞也可能含弓形蟲卵囊，清理貓砂時應戴手套，清理後也要洗手，孕婦應避免接觸來路不明的貓，以免感染。 2008-10-30 Toxoplasma gondii poor immune function will slip 【】 Chen Huihui, a 30-year-old man, first on both sides of the neck lymph node swelling after another, a few months after the beginning of a headache to the Medical Center for medical treatment, only confirmed case of infectious diseases Toxoplasma gondii. It is noteworthy that the hospital tests revealed the man was seven months pregnant wife of the samples were positive. Taiwan CDC deputy director of the top-Lin said that the case could not determine whether it was his wife when the infected, can only continue to observe. In May this year, the man was first myalgia, in mid-June, the beginning of the neck lymph node swelling on the right side, left side of the lymph nodes followed different. Lin said that the top, by September, the man began to symptoms such as headaches, to the medical center for medical, a doctor if they suspect may be infected with Toxoplasma gondii, also tested positive for the report. On the 15th of this month, released the results of complex inspection, confirmed that men really Toxoplasma infection. Toxoplasma gondii host more often cats, but the man was not at home cats, wild cats and no contact with the record, only work in the vicinity of the Shuiguo Tan keeping a cat. Lin said that the top, in addition to being the incorrect use of Toxoplasma gondii in cat faeces contaminated water or food, not eating cooked meat, there are likely to be infected with Toxoplasma gondii, Toxoplasma gondii, but will not give the person transmission. But the top-lam said that the normal immune function in people infected with Toxoplasma gondii, usually no symptoms, only a few lymph nodes occur, fever, or fatigue, weakness and other symptoms, but the immune function of poor people should pay particular attention to possible Meningitis, brain abscess, or as a result of fatal respiratory depression. In addition to the immune function of poor people to pay attention, top-lam said that in the early pregnant women infected with Toxoplasma gondii, may be transmitted through the placenta of fetal, neonatal may occur in the future development of mental retardation, bad eyesight, even blindness. Lin called on top, eating meat, at least after heating, cat people do not Weimao raw meat should be used to feed dry, cooked food. Cat feces may contain Toxoplasma gondii oocysts, cat litter clean-up should wear gloves, wash their hands to clean up after, origins pregnant women should avoid contact with the cat in order to avoid infection. 2008-10-30 View more information, see the World Journal reported that e-ePaper

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