摘要
Abstract
Objective To explore the clinical characteristics of HIV/AIDS patients complicated with tuberculosis and to improve the clinical knowledge of HIV/AIDS complicated with tuberculosis.Methods The clinical characteristics of 21 patients seeing a doctor because oftuberculosis but complicated with HIV/AIDS at our hospital from June, 2009 to August, 2014 were analyzed.Results 21 patients with HIV/AIDS were mainly sexually transmitted.Their clinical manifestations were mainly fever, cough,sputum, fatigue, shortness of breath, chest pain, headache, diarrhea, abdominal pain, oral ulcer, weight loss, heterogeneous, voice hoarse, etc.Imaging findings of tuberculosis were atypical.The patients complicated with other opportunistic infections, such as fungal infections, thrush, cryptococcus meningitis, pneumocystis carinii pneumonia, etc.5 patients died.Conclusions The clinical characteristics of HIV/AIDS complicated with tuberculosis: ① the symptoms are not typical;② imaging findings of tuberculosis are atypical;③ easy to occur a variety of opportunistic infections, such as fungi, bacteria, virus, etc.;④ the tuberculin tests are mainly negative;⑤ blood line of disseminated tuberculosis and extrapulmonary tuberculosis are common;⑥ sputum tuberculosis detection rate is low;⑦ anti-tuberculosis effect is not satisfied and mortality is high.关键词
结核病/HIV/AIDS/临床分析Key words
Tuberculosis/HIV/AIDS/Clinical analysis
