艾滋病合并隐球菌脑膜炎研究进展

Research progress in AIDS complicated with cryptococcal meningitis

  • 摘要: 隐球菌脑膜炎是艾滋病患者最常见的中枢神经系统机会性感染之一,随着高效抗逆转录病毒治疗的普及,艾滋病相关隐球菌脑膜炎的总体发病率有所下降,但在医疗资源有限地区及晚期艾滋病感染者中仍构成严重威胁。本文系统阐述了艾滋病合并隐球菌感染的病原学与流行病学情况、发病机制与免疫学、临床特征、临床诊断、药物治疗策略和耐药性以及预后,旨在提升对该疾病的认知水平,实现早期识别和及时干预。

     

    Abstract: Cryptococcal meningitis is one of the most common opportunistic infections of the central nervous system among AIDS patients. With the popularization of highly active antiretroviral therapy, the overall incidence of AIDS-associated cryptococcal meningitis has declined, but it still poses a serious threat in areas with limited medical resources and people living with advanced AIDS. A systematic elaboration was conducted on the etiology and epidemiology, pathogenesis and immunology, clinical features, clinical diagnosis, drug treatment strategies and drug resistance and prognosis of the AIDS complicated with cryptococcal infection so as to improve the cognitive level of the disease and achieve early identification and timely intervention.

     

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