临床误诊误治Issue(2)：15-17,3.DOI:10.3969/j.issn.1002-3429.2015.02.005
以神经系统症状首发的获得性免疫缺陷综合征七例误诊原因分析
Analysis of 7 Misdiagnosed Cases of Acquired Immune Deficiency Syndrome with Neurological Symptoms at Onset
叶茂斌 1陈研林 1叶飞 1张临洪1
作者信息
- 1. 430000 武汉，武汉市中心医院神经内科
- 折叠
摘要
Abstract
Objective To investigate the first symptom of AIDS in nervous system, and analyze the misdiagnosis cause, and enhance awareness of AIDS. Methods Retrospective analysis of 7 misdiagnosed acquired immune deficiency syndrome ( AIDs) cases with neurological symptoms at onset admitted to our hospital during January 2007 and December 2013 was made. Results There were cases of headaches and dizziness in 6 patients, with memory disorder in 2 patients, with abdominal disten-sion anorexia in 1 patient;Body lack of power in 1 patient. All the patients denied drug exposure history, amusement history and blood transfusion history. In the 7 cases, 5 cases were misdiagnosed as posterior circulation ischemia, 1 case was misdiagnosed as somatization disorder, and 1 case of left upper limb weakness patient was misdiagnosed as cerebral infarction. After corre-sponding treatment there was no sings of relief in symptoms. HIV antibody test result was positive, and validation test later con-firmed AIDS, and then the patients were transferred to the center for disease control and prevention for treatment. Conclusion AIDS patients with a manifestation of neurological symptoms as the first symptom tend to be misdiagnosed. An inquiry of detailed medical history, creative thinking and special medical examination may help to reduce misdiagnosis and mistreatment rates.关键词
获得性免疫缺陷综合征/误诊/后循环缺血/躯体型障碍/脑梗死Key words
Acquired immunodeficiency syndrome/Diagnostic error/Posterior circulation ischemia/Somatoform dis-order/Brain infarction分类
医药卫生引用本文复制引用
叶茂斌,陈研林,叶飞,张临洪..以神经系统症状首发的获得性免疫缺陷综合征七例误诊原因分析[J].临床误诊误治,2015,(2):15-17,3.
