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[墨西哥城一家医院中获得性免疫缺陷综合征患者腹泻的病因及相关因素]

[Causes and factors of diarrhea in the acquired immunodeficiency syndrome in a hospital of Mexico City].

作者信息

Romo García J, Salido Rengell F, Jessurum J, Diéguez M, Vick Fragoso R, Higuera Ramírez F

机构信息

Departamento de Virología, Hospital General de México, Secretaría de Salud.

出版信息

Rev Clin Esp. 1991 Oct;189(5):218-20.

PMID:1801069
Abstract

One hundred and sixty-four AIDS patients were studied; in 70 of them (42.7%) an agent capable of producing diarrhea was identified either by bacteriology, histopathology, or both procedures. It was observed that homosexuals and bisexuals present diarrhea sooner and with a higher frequency than heterosexuals. Cryptosporidium (35.7%) was the most frequently isolated agent. The most useful study was the coproparasitoscopic series. In 27 patients (38.6%) 2 or more agents (pathogens or opportunist) were isolated. An statistical correlation was demonstrated between the presence of diarrhea and the existence of agents able to produce it. The convenience of using special methods, because of their efficacy or cost, to evidence other pathogenic or opportunistic agents is also discussed.

摘要

对164例艾滋病患者进行了研究;其中70例(42.7%)通过细菌学、组织病理学或两种方法确定了一种能够引起腹泻的病原体。观察发现,同性恋者和双性恋者比异性恋者出现腹泻的时间更早且频率更高。隐孢子虫(35.7%)是最常分离出的病原体。最有用的检查是粪便寄生虫系列检查。27例患者(38.6%)分离出2种或更多病原体(致病原或机会性病原体)。腹泻的存在与能够引起腹泻的病原体之间存在统计学相关性。还讨论了由于特殊方法的有效性或成本而使用它们来检测其他致病或机会性病原体的便利性。

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