本文選題：艾滋病　切入點：馬爾尼菲青霉病　出處：《罕少疾病雜志》2000年02期

【摘要】：目的 報道馬爾尼菲青霉病在中國可繼發(fā)于艾滋病。方法 詳細詢問病史，系統(tǒng)查體，進行胸部 X線及肝脾 B超檢查及取血、骨髓、皮疹分泌物做病原學檢查，真菌培養(yǎng)與鑒定。結果 病人以發(fā)熱、皮疹、肺炎、貧血、肝脾與淋巴結腫大為主要臨床表現(xiàn)。兩年前曾感染 HIV。實驗室檢查：抗 HIV陽性，周圍血淋巴細胞總數(shù)顯著減少， Th2％， Ts54％， Th/Ts比例倒置。骨髓細胞學檢查細胞間及部分組織細胞漿內可見大量病原體，真菌培養(yǎng)證實為馬爾尼菲青霉菌。結論 在我國，，馬爾尼菲青霉病可繼發(fā)于艾滋病，確診時須排除組織胞漿菌病。
[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.
【作者單位】： 深圳市紅十字會醫(yī)院 深圳市紅十字會醫(yī)院 深圳市紅十字會醫(yī)院 深圳市紅十字會醫(yī)院 深圳市紅十字會醫(yī)院 深圳市紅十字會醫(yī)院 深圳市紅十字會醫(yī)院
【分類號】：R512.91

【共引文獻】

相關期刊論文 前9條

1 繆作華,何玨;九例誤診為組織胞漿菌病的馬爾尼菲青霉病的臨床病理分析[J];贛南醫(yī)學院學報;2002年05期

2 陸林,胡祥仁,吳孟華,王海英,張榮萍;馬尼菲青霉病六例誤診[J];臨床誤診誤治;2001年06期

3 阮美娟,祝X≈

本文編號：1705295