结核病和艾滋病毒患者的双边自发性肺胸病:一个病例报告
Mochammad Daviq1, Tri Pudy Asmarawati2, Erwin Astha Triyono2
1Study Program of Internal Medicine, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia.
International journal of surgery case reports
|October 11, 2023
概括
结核病和人类免疫缺陷病毒 (TB-HIV) 联合感染的双边肺胸部呈现出严重的预后. 坚持抗逆转录病毒疗法 (ART) 对艾滋病毒患者至关重要,以减轻TB在流行地区的风险.
科学领域:
- 传染性疾病 传染性疾病
- 肺部病理学 肺部病理学
- 公共卫生 公共卫生
背景情况:
- 双边二次自发性肺胸炎是结核病 (TB) 和人类免疫缺陷病毒 (HIV) 同感染的患者的罕见和严重并发症.
- 这种情况与高死亡率和患者的不良结果有关.
- 与结核病-艾滋病毒的同时感染在临床管理中带来了重大挑战.
研究的目的:
- 在患有结核病与艾滋病毒共感染的患者中呈现双边自发性肺胸病例.
- 突出与管理这种罕见疾病相关的挑战和结果.
- 强调结核病-艾滋病毒共感染个体遵守治疗的重要性.
主要方法:
- 描述了一个31岁的印度尼西亚男性病例报告,他有艾滋病毒病史,并怀疑患有结核性淋巴腺炎.
- 患者出现了呼吸短促,胸痛和体重减轻的症状.
- 诊断程序包括胸部X射线,其次是针头胸腔凝聚和胸腔管插入,用于左侧肺胸,随后对右侧肺胸进行管理.
主要成果:
- 患者最初在为左肺胸部插入胸管后得到改善.
- 然而,他后来患上了右侧肺胸,表明疾病进展.
- 尽管接受了治疗,但两天后患者因低血压休克而死亡,这凸显了病情的危急性质.
结论:
- 结核病-艾滋病毒共感染患者肺胸部的管理通常只能获得暂时的改善,并且与预后不佳有关.
- 艾滋病毒患者始终坚持抗逆转录病毒疗法 (ARV) 对于降低结核病在结核病流行地区感染Mycobacterium tuberculosis的风险至关重要.
- 致力于治疗方案对于艾滋病毒患者来说至关重要,以降低结核病-艾滋病毒诱导的肺胸部发病率.
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