Mesh : Humans Male Hematopoietic Stem Cell Transplantation / adverse effects High-Throughput Nucleotide Sequencing Toxoplasmosis / diagnosis Toxoplasma / genetics isolation & purification Adolescent Metagenomics / methods Trimethoprim, Sulfamethoxazole Drug Combination / therapeutic use Antibodies, Protozoan / blood Precursor T-Cell Lymphoblastic Leukemia-Lymphoma Transplantation, Homologous / adverse effects

来  源:   DOI:10.1097/INF.0000000000004170

Abstract:
We report a case of Toxoplasma gondii ( T. gondii ) antibody seronegativity in a 14-year-old boy with a primary infection of T. gondii after allogeneic hematopoietic stem cell transplantation for acute T-cell lymphoblastic leukemia who was rapidly diagnosed through metagenomic next-generation sequencing of peripheral blood as well as clinical manifestations. He was successfully cured with timely administration of trimethoprim-sulfamethoxazole due to early diagnosis.
摘要:
我们报告一例弓形虫(T。gondii)在异基因造血干细胞移植治疗急性T细胞淋巴细胞白血病后,一名14岁男孩初次感染弓形虫的抗体血清阴性,该男孩通过宏基因组下一代外周血测序以及临床表现迅速诊断。由于早期诊断,及时服用甲氧苄啶-磺胺甲恶唑成功治愈。
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