艾滋病合并隐球菌感染17例尸检材料的临床病理学研究  

CLINICOPATHOLOGICAL STUDY OF 17 AUTOPSY CASES OF CRYPTOCOCCUS INFECTION IN PATIENTS WITH THE ACQUIRED IMMUNODEFICIENCY SYNDROME

作　　者：刘德纯[1] 林清森[1] 

机构地区：[1]蚌埠医学院病理学教研室,纽约MountSinai医学中心病理系

出　　处：《中国微生态学杂志》1996年第4期24-26,共3页Chinese Journal of Microecology

摘　　要：在１５１例艾滋病尸检材料中发现１７例合并隐球菌感染，均经病理学确诊，患者男１５名，女２名，平均４３．６岁。１２例发生脑膜炎、肺炎和淋巴结炎各７例，尚见脾（６例）、肾（５例）等器官受累。９例为播散性感染。病变为慢性肉牙肿性，其中见有隐球菌。本文描述隐球菌性脑膜炎、肺炎等临床病理学表现，并讨论其病变特征与病理诊断问题。Seventeen cases of cryptococcosis,which were confirmed histologically,were found in 151 autopsy materiais of the acquired immunodeficiency syndrome(AIDS).There were 15 male and 2 female with the mean age 43.6.Meningitis occurred in 12 cases,and pneumonia and lymphadenitis in 7 cases respectively,Spleen(6 cases),kidney(5 cases) were also involved. Disseminated infection were found in 9 cases,The pathological changes were chronic granulomatous lesions containing cryptococcus.The clinical and pathological manifestations of cryptococcal meningitis and pneumonitis were described,and the histological features and diagnostic methods were discussed.

关 键 词：艾滋病 隐球菌感染 尸体解剖 病理 

分 类 号：R512.910.2[医药卫生—内科学] R519.402[医药卫生—临床医学]