艾滋病合并马尔尼菲篮状菌及组织胞浆菌2例临床病理分析
Clinical and Pathological Analysis of Two Cases of AIDS Complicated with Talaromyces marneffei and Histoplasma capsulatum
DOI: 10.12677/acm.2025.1582299, PDF,   
作者: 梁 娟*, 屠云娇, 张 铭, 谭永兴：云南省滇南中心医院(红河州第一人民医院)病理科，云南 蒙自；王巧凤：玉溪市第一人民医院感染科，云南 玉溪
关键词: 艾滋病；马尔尼菲篮状菌；组织胞浆菌；临床病理特征；AIDS； Talaromyces marneffei； Histoplasma capsulatum； Clinical and Pathological Characteristics
摘要: 目的：分析艾滋病合并马尔尼菲篮状菌及组织胞浆菌的临床资料、病理表现，探讨其诊断、发病机制和临床治疗方案。方法：回顾性分析2例艾滋病合并马尔尼菲篮状菌及组织胞浆菌的临床病理学特征并复习相关文献。结果：2例患者因不同临床表现入院，实验室检查均提示艾滋病并马尔尼菲篮状菌感染，病理活检提示马尔尼菲篮状菌及组织胞浆菌感染。结论：艾滋病合并马尔尼菲篮状菌及组织胞浆菌感染临床表现复杂多样，诊断和治疗难度较大，及时进行病原学检测及病理学活检，为早期诊断和治疗提供有力支持。
Abstract: Objective: To analyze the clinical data and pathological manifestations of AIDS complicated with Talaromyces marneffei and Histoplasma capsulatum, and to explore its diagnosis, pathogenesis and clinical treatment. Methods: The clinicopathological characteristics of 2 cases of AIDS complicated with Talaromyces marneffei and Histoplasma capsulatum were retrospectively analyzed and relevant literature was reviewed. Results: The 2 patients were admitted to the hospital due to different clinical manifestations. Laboratory tests showed AIDS complicated with Talaromyces marneffei infection, and pathological biopsy showed Talaromyces marneffei and Histoplasma capsulatum infection. Conclusion: The clinical manifestations of AIDS complicated with Talaromyces marneffei and Histoplasma capsulatum infection are complex and diverse, and the diagnosis and treatment are difficult. Timely etiological detection and pathological biopsy provide strong support for early diagnosis and treatment.
文章引用：梁娟, 王巧凤, 屠云娇, 张铭, 谭永兴. 艾滋病合并马尔尼菲篮状菌及组织胞浆菌2例临床病理分析[J]. 临床医学进展, 2025, 15(8): 796-802. https://doi.org/10.12677/acm.2025.1582299

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