發(fā)布時間：2019-01-02 10:10

【摘要】：目的:探討艾滋病合并口腔念珠菌病的臨床特點和診治轉(zhuǎn)歸。方法:回顧性研究從2012-09~2013-03北京地壇醫(yī)院收治的31例艾滋病合并口腔念珠菌感染者的臨床資料,包括一般資料、臨床特征、口腔表現(xiàn)、CD4細(xì)胞計數(shù)、機(jī)會性感染狀況、抗真菌治療轉(zhuǎn)歸等。結(jié)果:31例患者中30例CD4細(xì)胞計數(shù)小于200個/μl,有29例合并多種機(jī)會性感染。臨床表現(xiàn)30例為假膜型,1例為紅斑型,2例假膜型合并口角炎型�？拐婢委熀�,8例病損縮小,23例病損完全消失,3例停藥后復(fù)發(fā)。結(jié)論:艾滋病合并口腔念珠菌病臨床上多見于CD4細(xì)胞200個/μl的患者,臨床表現(xiàn)以假膜型為主,常合并有其他部位的多種機(jī)會性感染。這類患者抗真菌治療有效。
[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.
【作者單位】： 首都醫(yī)科大學(xué)附屬北京地壇醫(yī)院口腔科;首都醫(yī)科大學(xué)附屬北京地壇醫(yī)院感染一科;首都醫(yī)科大學(xué)附屬北京同仁醫(yī)院口腔科;
【分類號】：R512.91;R781.54

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