艾滋病合并口腔念珠菌病31例临床分析

发布时间：2019-01-02 10:10

【摘要】：目的:探讨艾滋病合并口腔念珠菌病的临床特点和诊治转归。方法:回顾性研究从2012-09~2013-03北京地坛医院收治的31例艾滋病合并口腔念珠菌感染者的临床资料,包括一般资料、临床特征、口腔表现、CD4细胞计数、机会性感染状况、抗真菌治疗转归等。结果:31例患者中30例CD4细胞计数小于200个/μl,有29例合并多种机会性感染。临床表现30例为假膜型,1例为红斑型,2例假膜型合并口角炎型。抗真菌治疗后,8例病损缩小,23例病损完全消失,3例停药后复发。结论:艾滋病合并口腔念珠菌病临床上多见于CD4细胞200个/μl的患者,临床表现以假膜型为主,常合并有其他部位的多种机会性感染。这类患者抗真菌治疗有效。
[Abstract]:Objective: to investigate the clinical features, diagnosis and treatment of AIDS complicated with oral candidiasis. Methods: the clinical data of 31 AIDS patients with oral candida infection admitted from The Temple of Earth Hospital in Beijing were retrospectively studied, including general data, clinical features, oral manifestations, CD4 cell count and opportunistic infection. Antifungal therapy, etc. Results: the CD4 cell count was less than 200 / 渭 l in 30 out of 31 patients, and 29 cases were complicated with multiple opportunistic infections. There were 30 cases of pseudomembranous type, 1 case of erythema type and 2 cases of pseudomembranous type combined with oral horn inflammation. After antifungal therapy, 8 cases had reduced lesion, 23 cases had disappeared completely, 3 cases had relapsed after drug withdrawal. Conclusion: AIDS complicated with oral candidiasis is more commonly seen in 200 / 渭 l CD4 cells. The clinical manifestation is pseudomembranous type, often associated with multiple opportunistic infections in other parts. These patients are effective in antifungal therapy.
【作者单位】：首都医科大学附属北京地坛医院口腔科;首都医科大学附属北京地坛医院感染一科;首都医科大学附属北京同仁医院口腔科;
【分类号】：R512.91;R781.54

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