Author/Editor		Arnež, M
Title		Toksoplazemski limfadenitis
Translated title		Toxoplasma lymphadenitis
Type		članek
Source		Slov Pediatr
Vol. and No.		Letnik 6, št. 4
Publication year		1999
Volume		str. 100-3
Language		slo
Abstract		Toxoplasmosis is caused by the parasite Toxoplasma gondii. In most children, acute or acquired infection is asymptomatic. Symptomatic infection occurs in 10-15% of infected children. The most common presentation of toxoplasmosis is cervical lymphadenitis which in children with normal immune system lasts for many weeks. It disappears spontaneously with no sequclac. In immunocompromised children, specific treatment is indicated, because of high incidence of dissemination of the parasitc into vital organs and high mortality rate. The diagnosis is established by microbiological tests, most commonly by demonstration of specific antibodies to parasite in patient's blood. The differential diagnosis of toxoplasmic lymphadenitis is broad. When lymphoma is suspected, cytologic aspiration of the affected lymphatic gland or surgical extirpation with biopsy and histology arc indicated.
Summary		Toksoplazmoza je bolezen, ki jo povzroča zajedalec Toxoplasma gondii. Akutna ali pridobljena okužba poteka pri večini otrok brez simptomov. Ti se pojavijo pri 10-15% okuženih otrok. Najpogosteje poteka kot limfadenitis na vratu, ki pri otroku z normalnim delovanjem imunskega sistema traja več tednov. Izzveni sam od sebe brez posledic. Pri otroku z imunsko pomanjkljivostjo je zaradi nevarnosti razsoja zajedalca v življenjsko pomembne organe in zaradi visoke smrtnosti potrebno specifično zdravljenje. Diagnozo ugotovimo z mikrobiološkimi preiskavami, najpogosteje z dokazom specifičnih protiteles proti zajedalcu v krvi bolnika. Diferencialna diagnoza toksoplazemskega limfadenitisaje obsežna. Zaradi suma na limfom je včasih potrebna citološka punkcija prizadete bezgavke ali kirurška odstranitev z biopsijo in histološkim pregledom.
Descriptors		LYMPHADENITIS TOXOPLASMOSIS CHILD TOXOPLASMA