与麻风和肺结核的同时感染:马达加斯加患者的病例系列
Mendrika Fifaliana Rakotoarisaona1, Tsiory Iarintsoa Razafimaharo2, Fandresena Arilala Sendrasoa2
1Department of Dermatology, University Hospital of Analakely, Antananarivo, Madagascar.
Infection and drug resistance
|April 22, 2024
概括
同时感染麻风和结核病的情况很少见,但显著. 在麻风患者中早期查结核病至关重要,以防止严重的结果和耐药性.
科学领域:
- 传染性疾病 传染性疾病
- 皮肤病学 皮肤病学
- 公共卫生 公共卫生
背景情况:
- 麻风和结核病是古老的,常见的菌根菌感染.
- 双重感染在历史上是公认的,但很少被记录下来,即使是在像马达加斯加这样的特有地区.
研究的目的:
- 报告一系列关于麻风和结核病同时发生的病例.
主要方法:
- 马达加斯加贝费拉塔纳纳大学医院 (2012-2021) 的麻风患者的回顾性审查.
- 纳入标准:患有肺结核同时感染的麻风患者.
主要成果:
- 在120名麻风患者中发现了5例麻风和结核共感染病例.
- 主要是男性患者 (4/5),平均年龄为43.4岁.
- 4例肺结核病例和1例多焦点结核病例;大多数病例中,结核病之前确诊了麻风病.
- 确定了免疫抑制因素;三名患者同时接受多种药物治疗.
结论:
- 皮肤科医生必须查麻风患者的结核病.
- 查可以预防共感染的发病率,死亡率和抗利芬素耐药性.
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