A clinical study on 33 cases of Penicilliosis marneffei in patients with acquired immunodeficiency syndrome
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R512.91 R379.9

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    Abstract:

    ObjectiveTo evaluate the epidemiology, clinical features, treatment and prognosis of Penicilliosis marneffei (PSM) complicated in patients with acquired immunodeficiency syndrome (AIDS) in a hospital.MethodsClinical data of AIDS inpatients with PSM between January 2008 and August 2011 were studied retrospectively.ResultsClinical data of 33 patients were collected. Before the onset of disease, 54.55% of the patients had been living in Hunan, 45.45% came from or have ever been to Penicillium marneffei (PM) endemic areas of Guangdong, Guangxi, Yunnan, and Fujian. The major clinical manifestations were fever (96.97%), anaemia (93.94%), cough (66.67%), splenomegaly (63.64%), skin rash (57.58%), lymphadenectasis (39.39%) and diarrhea(33.33%). CD4+T lymphocyte count of all patients were <200/mm3, and the number of the patients with CD4+ count in 100-200/mm3,50-100/mm3 and <50/mm3 ranges were 1,7 and 25, respectively. After treated with amphotericin B and/or itraconazole,the total cure and improvement rate was 84.85%.ConclusionWith regard to PSM complicated in AIDS patients, early diagnosis and prompt treatment can achieve ideal therapeutic effet.

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周国强,肖钢,王敏.艾滋病合并马尔尼菲青霉菌病33例临床研究[J].中国感染控制杂志英文版,2012,11(6):413-416.
ZHOU Guoqiang, XIAO Gang, WANG Min. A clinical study on 33 cases of Penicilliosis marneffei in patients with acquired immunodeficiency syndrome[J]. Chin J Infect Control, 2012,11(6):413-416.

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History
  • Received:February 22,2012
  • Revised:April 10,2012
  • Adopted:
  • Online: November 30,2012
  • Published: