一个病例持续阳性MpoxPCR1年在患有晚期艾滋病毒的患者
Haitham Alaithan1, Neha Venkatesh2, Prathit A Kulkarni1,3
1Department of Medicine, Infectious Diseases Section, Baylor College of Medicine, Houston, Texas, USA.
Open forum infectious diseases
|May 7, 2025
概括
持久的Mpox感染可能发生在晚期艾滋病毒感染的个体中,阳性PCR测试持续一年以上. 这一案例突显了免疫受损患者的长期病毒泄露,与典型的自我限制疾病过程不同.
科学领域:
- 病毒学 病毒学
- 皮肤病学 皮肤病学
- 传染性疾病 传染性疾病
背景情况:
- 麻疹 (原名麻疹) 是一种病毒性疾病,其特征是囊泡状皮疹.
- 通常,Mpox在免疫能力强的个体中在4周内消失.
- 晚期艾滋病毒感染可能会损害免疫反应,可能改变疾病的进程.
研究的目的:
- 报告一个长期Mpox感染的病例.
- 在免疫功能低下的患者中描述延长的病毒分泌.
- 为了突出Mopox在晚期艾滋病病毒中的非典型表现.
主要方法:
- 一个患有晚期艾滋病毒和Mopox的患者的病例报告.
- 利用聚合酶链反应 (PCR) 进行病毒检测.
- 在长时间内监测PCR阳性.
主要成果:
- 患者表现出Mpox症状和皮肤发现.
- 聚合酶链反应 (PCR) 对Mopox的阳性持续了一年多.
- 这与典型的4周的免疫能力有限的个体的自我限制过程形成鲜明对比.
结论:
- 在艾滋病毒发病的患者中,Mpox可以表现为持久性感染.
- 在免疫功能低下的人群中,可能存在长期的病毒泄漏.
- 这一案例强调了在特定患者群体中考虑非典型表现的必要性.
相关概念视频
Retrovirus Life Cycles
Retroviruses have a single-stranded RNA genome that undergoes a special form of replication. Once the retrovirus has entered the host cell, an enzyme called reverse transcriptase synthesizes double-stranded DNA from the retroviral RNA genome. This DNA copy of the genome is then integrated into the host’s genome inside the nucleus via an enzyme called integrase. Consequently, the retroviral genome is transcribed into RNA whenever the host’s genome is transcribed, allowing the retrovirus to...
Cryptococcal Meningitis
Cryptococcal meningitis is a life-threatening opportunistic infection predominantly associated with HIV/AIDS, accounting for over 100,000 deaths annually worldwide. However, it also affects individuals with other forms of immunosuppression, including those undergoing immunosuppressive therapy, organ transplant recipients, patients with innate immunodeficiencies, and individuals with hematological disorders. The infection is caused mainly by Cryptococcus neoformans and Cryptococcus gattii,...


