脑弓形虫病、军队结核和HIV合并感染CD4计数446细胞/mm3 1例不寻常报告

O. Loua, Dramane Ouedraogo, Dramane Ouadraogo, M. Soumaré, Amayi Essénam Allé Akapko, Y. Cissoko
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引用次数: 0

摘要

脑弓形虫病和结核病是严重的机会性感染,通常发生在CD4细胞计数< 200细胞/mm3的hiv阳性个体中。我们在此报告一例56岁的弓形虫结核患者- HIV合并感染,CD4计数为446细胞/mm3。复方新诺明联合一线抗结核药物多药治疗,复方新诺明治疗第14天出现良好进展(临床改善)。在两次心理治疗后,在抗结核治疗的第15天重新引入高抗逆转录病毒疗法(HAART)。通过这一临床病例,医生应该警惕HIV免疫功能低下患者的机会性感染的可能性,特别是没有化学预防的患者,无论他的CD4计数如何。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cerebral toxoplasmosis, miliary tuberculosis and HIV co-infection with CD4 count of 446 cells/mm3: an unsual case report
Cerebral toxoplasmosis and tuberculosis miliaria are major and serious opportunistic infections, usually occurring in HIV-positive individuals with CD4 counts< 200 cells/mm3. We report here a case in a 56-year-old patient with toxoplasmosistuberculosis- HIV co-infection with CD4 count of 446 cells/mm3. Under multidrug therapy (cotrimoxazole and first-line antituberculosis drugs), the favorable evolution (clinical improvement) was observed on the fourteenth day of cotrimoxazole treatment. High antiretroviral therapy (HAART) was reintroduced on the fifteenth day of anti-tuberculosis treatment, after two sessions of psychotherapy. Through this clinical case, the practitioner should be warned about the possibility of concomitant opportunistic infections in an HIV immunocompromised patient, especially without chemoprophylaxis, whatever his CD4 count. 
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