頁籤選單縮合
題 名 | Failure of Screening to Detect HIV in a Foreign Laborer Who Died of Toxoplasmosis of the Central Nervous System=外勞常規愛滋病篩檢失敗導致因中樞神經系統弓蟲症感染而死亡之病例 |
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作 者 | 阮祺文; 伍福生; 張維恆; 周志中; 李昭男; 林清澤; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 98:9 1999.09[民88.09] |
頁 次 | 頁639-642 |
分類號 | 412.46 |
關鍵詞 | 外勞; 愛滋病篩檢; 中樞神經系統; 弓蟲症感染; Human immunodeficiency virus; Acquired immunodeficiency syndrome; Toxoplasmosis; Neurotoxoplasmosis; Opportunistic infection; |
語 文 | 英文(English) |
英文摘要 | The most common neurologic complication in patients with acquired immunodeficiency syndrome (AIDS) is cerebral toxoplasmosis. Patients with cerebral toxoplasmosis have characteristic findings on clinical examination and neuroimaging. They require prolonged treatment and have a considerable mortality rate. We report a case of cerebral toxoplasmosis in a foreign laborer with AIDS, in whom a human immunodeficiency virus (HIV) screening test failed to detect HIV infection. The patient, a 23-year-old man from Thailand, presented in a confused state 2 weeks after his arrival in Taiwan. Computed tomography showed a mass effect, and magnetic resonance imaging showed multiple ring-enhanced lesions in the cerebrum. Serologic tests were positive for anti-HIV antibody and also showed high anti-Toxoplasma immunoglobulin G titers. Although symptomatic treatment was initiated, the patient's condition deteriorated rapidly and he died of multiple organ failure due to brain stem herniation a few days after admission. As the number of foreign laborers working in Taiwan has increased dramatically in recent years, the issues raised by this case are the efficacy of our screening protocols for foreign laborers and the increased occupational hazards encountered by medical personnel in Taiwan. |
本系統中英文摘要資訊取自各篇刊載內容。