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題 名 | Autopsy Findings on Patients with AIDS in Taiwan=臺灣地區愛滋病的病理解剖研究 |
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作 者 | 蕭正祥; 黃世鴻; 黃秀芬; 宋清亮; 蘇益仁; 莊哲彥; 饒宇東; 林欽塘; 許輝吉; | 書刊名 | 中華民國微生物及免疫學雜誌 |
卷 期 | 30:3 1997.08[民86.08] |
頁 次 | 頁145-159 |
分類號 | 415.944 |
關鍵詞 | 臺灣地區; 愛滋病; 病理解剖; AIDS; HIV; CMV; EBV; Autopsy; Pneumocystis carinii pneumonia; Mycobacterium; Kaposi's sarcoma; |
語 文 | 英文(English) |
中文摘要 | 台大醫院自1986起至1996止共解剖了16例愛滋病病例。其中15名男性,l名女性。男性患者有14名是由性接觸而感染疾病,l名疑似由注射毒品感染。唯一的女性病患從事特種行業。只有2名病患在愛滋病發病前確定為HIV帶原者其他病患都是在發病後才得知有帶原。 解剖時,所有的病人都有淋巴細胞枯竭,與胸腺萎縮的現象。而所有的男性病患的睪丸也都萎縮。3個病人死於惡性淋巴癌,12個死於伺機性感染,1個自殺。病人通常是由於口腔的念珠菌感染而初次就診。卡氏肺囊蟲肺炎是疾病初期常見的感染,而巨細胞病毒感染則是後期最常見的感染。有8名病人在疾病過程當中有過分枝桿菌的感染。有6名病人有瀰漫性的卡波西肉瘤,其中4人為同性戀患者。HHV-8基因存在於卡波西肉瘤的活體切片標本內。有4名病患有惡性淋巴瘤,這些淋巴瘤都是高度惡性的B細胞淋巴瘤,且都含有EB病毒的基因。 總結本篇研究:(1)台灣地區愛滋病患的結核病比例偏高(佔38%);(2)念珠菌感染,肺囊蟲肺炎與巨細胞病毒感染是本研究最常見的伺機性感染;(3)自1995起台灣地區的愛滋病相關惡性淋巴瘤的發生率有明顯增加的趨勢。 |
英文摘要 | At National Taiwan University Hospital, from 1986 to 1996, autopsies were performed on 16 patients with acquired immunodeficiency syndrome. There were 15 men and 1 woman. Fourteen of these male patients had contracted thc disease as a result of sexual practice, among which 9 were homosexual. 1 was bisexual and 4 were heterosexual. One of the patients had become infected by sharing a syringe during intravenous drug use. The female was a sex worker. Among these patients, only 2 had been tested for HIV before developing AIDS. On autopsy, lymphoid depletion and thymus atrophy were found in all patients. Testicular atrophy was noted in all the male patients. Three patients died of malignant lymphoma. Twelve patients died of opportunistic infections and 1 committed suicide. The initial opportunistic infection was usually oral candidiasis. Pneumocystis carinii pneumonia (PCP) was the most common opportunistic infection developed in the early stage while cytomegalovirus (CMV) infection was the most common one found in the late stage. Mycobacterium infection had developed in 8 patients. Six patients had disseminated Kaposi's sarcoma (KS) and 4 of them were homosexual. In 4 patients, biopsy specimens were proved to have KS associated viral (HHV-8) genome. Malignant lymphoma was found in 4 cases, all were of high grade B cell type. Epstein-Barr virus (EBV) encoding small RNA (EBER1) was demonstrated in all the lymphomas. In conclusion, (1) the prevalence of tuberculosis (38%) in patients with AIDS in Taiwan is high; (2) the most common opportunistic infections in this series are candidiasis, PCP and CMV infections; (3) the incidence of AIDS related non-Hodgkin's lymphoma in Taiwan has increased since 1995. |
本系統中英文摘要資訊取自各篇刊載內容。