hiv感染者的克氏锥虫脑膜脑炎。

N Silva, L O'Bryan, E Medeiros, H Holand, J Suleiman, J S de Mendonca, N Patronas, S G Reed, H G Klein, H Masur, R Badaro
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引用次数: 54

摘要

报告5例hiv感染者发生克氏锥虫脑膜脑炎。所有患者均表现为头部计算机断层扫描肿块病变,脑脊液中有锥虫,抗弓形虫治疗无效。苯并硝唑治疗与1例患者临床改善相关。另外4例患者外周血涂片发现克氏T细胞。对于有中枢神经系统肿块性病变的hiv感染患者,如果他们有适当的暴露史,在鉴别诊断时需要考虑克氏T型病毒。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Trypanosoma cruzi meningoencephalitis in HIV-infected patients.

Five cases of Trypanosoma cruzi meningoencephalitis in HIV-infected patients are reported. All patients presented with mass lesions on head computed tomographic scan, trypanosomes in the cerebrospinal fluid and failure to respond to antitoxoplasmosis therapy. Benznidazole therapy was associated with clinical improvement in 1 patient. Another 4 patients had T cruzi identified in a peripheral smear. T cruzi needs to be considered in the differential diagnosis of HIV-infected patients with central nervous system mass lesions if they have a history of appropriate exposure.

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