Chaudhry S I, Greenspan J S
Int J STD AIDS. 2000 Jun;11(6):349-55. doi: 10.1258/0956462001916047.
The emergence of the human immunodeficiency virus (HIV) and the onset of the AIDS epidemic has been associated with the frequent presentation of otherwise rare opportunistic infections and neoplasms. Despite the impairments of cellular and humoral immunity that accompany HIV infection, the prevalence of actinomycosis in the HIV-infected population has remained low. This article reviews previously reported cases of actinomycosis in HIV-positive and AIDS patients. Microbiological, pathological, diagnostic, clinical and therapeutic aspects of actinomycosis in this population are discussed. Clinicians should be aware of the possibility of actinomycosis as the cause of a persistent inflammatory lesion in these patients and know the correct techniques for collecting and submitting tissue specimens for anaerobic culture.
人类免疫缺陷病毒(HIV)的出现及艾滋病流行的发生,与原本罕见的机会性感染和肿瘤的频繁出现有关。尽管HIV感染会伴随细胞免疫和体液免疫受损,但放线菌病在HIV感染人群中的患病率仍然较低。本文回顾了先前报道的HIV阳性及艾滋病患者发生放线菌病的病例。讨论了该人群中放线菌病的微生物学、病理学、诊断、临床及治疗方面的情况。临床医生应意识到放线菌病有可能是这些患者持续性炎症病变的病因,并应了解采集和送检组织标本进行厌氧培养的正确技术。