由于不常见的血清组,患有脑膜炎球菌疾病的十岁以上患者的补充缺乏症
C A Fijen1, E J Kuijper, A J Hannema
1Department of Medical Microbiology, University of Amsterdam Academic Medical Centre, the Netherlands.
Lancet (London, England)
|September 9, 1989
概括
一半患有罕见脑膜炎球菌病血清组的患者患有补体缺陷. 终端补充成分缺陷与复发性感染有关,突显了补充和脑膜炎球菌疾病之间的联系.
科学领域:
- 免疫学 免疫学 免疫学
- 传染性疾病 传染性疾病
- 遗传学 是一个遗传学.
背景情况:
- 脑膜炎球菌病通常是由特定的血清组引起的.
- 在10岁后感染较少的血清组 (X,Y,Z,W135,29E) 是不寻常的.
- 补充缺乏是已知的脑膜炎球菌疾病的危险因素.
研究的目的:
- 调查补充体缺陷与由不常见血清组引起的脑膜炎球菌疾病之间的关联.
- 为了确定患有这些感染的患者中普遍存在的特定补充缺乏症.
主要方法:
- 追溯调查46名在10岁后被诊断患有因X,Y,Z,W135或29E血清组引起的脑膜炎球菌病的患者.
- 分析受影响患者的补充成分水平和功能.
主要成果:
- 在50%的研究患者中发现了补充缺乏症.
- 在9名患者中发现了properdin缺乏症.
- 5名患者出现C3缺陷综合征,9名患者出现终端组件 (C5-C8) 的同卵性缺陷.
- 在9名终端补充成分缺陷患者中,有5名患者出现了复发性脑膜炎球菌感染.
结论:
- 由不常见的血清组引起的脑膜炎球菌病经常与潜在的补体缺陷有关.
- 终端补充成分缺陷对复发性脑膜炎球菌感染具有重大风险.
- 在患有由于异常脑膜炎球菌血清组引起的侵入性疾病的患者中,应考虑对补充缺乏症的查.
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