艾滋病并发马尔尼菲青霉病

发布时间：2018-04-03 12:58

本文选题：艾滋病　切入点：马尔尼菲青霉病　出处：《罕少疾病杂志》2000年02期

【摘要】：目的报道马尔尼菲青霉病在中国可继发于艾滋病。方法详细询问病史，系统查体，进行胸部 X线及肝脾 B超检查及取血、骨髓、皮疹分泌物做病原学检查，真菌培养与鉴定。结果病人以发热、皮疹、肺炎、贫血、肝脾与淋巴结肿大为主要临床表现。两年前曾感染 HIV。实验室检查：抗 HIV阳性，周围血淋巴细胞总数显著减少， Th2％， Ts54％， Th/Ts比例倒置。骨髓细胞学检查细胞间及部分组织细胞浆内可见大量病原体，真菌培养证实为马尔尼菲青霉菌。结论在我国，，马尔尼菲青霉病可继发于艾滋病，确诊时须排除组织胞浆菌病。
[Abstract]:Objective to report that penicilliosis marneffei can be secondary to AIDS in China.Methods the history of the disease was inquired in detail, the systemic examination of body, the examination of chest X ray and B ultrasonic examination of liver and spleen, and the examination of blood, bone marrow, exudation of rash, the culture and identification of fungi.Results the main clinical manifestations were fever, rash, pneumonia, anemia, hepatosplenomegaly and lymphadenopathy.He was infected with HIV two years ago.Laboratory examination: anti HIV positive, peripheral blood lymphocyte count significantly decreased, Th2, Ts54, Th/Ts inversion.A large number of pathogens were found in the intercellular and some tissue cytoplasm of bone marrow cytology. The fungal culture confirmed Penicillium marneffei.Conclusion in China, penicilliosis marneffei can be secondary to AIDS, and histoplasmosis should be excluded when diagnosed.
【作者单位】：深圳市红十字会医院深圳市红十字会医院深圳市红十字会医院深圳市红十字会医院深圳市红十字会医院深圳市红十字会医院深圳市红十字会医院
【分类号】：R512.91

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