van den Berk G E L, Jarbandhan A A, Regez R M, van Bergen J E A M, Brinkman K
Onze Lieve Vrouwe Gasthuis, afd. Interne Geneeskunde, Amsterdam.
Ned Tijdschr Geneeskd. 2007 Dec 1;151(48):2648-51.
A 65-year-old man with weight loss, a 65-year-old Surinam woman with dyspnoea, and a 55-year-old lesbian woman suffering from painful joints, weight loss and diarrhoea were eventually diagnosed as being infected with HIV. At the time of diagnosis, all three patients had CD4 counts below 100 cells x 10(6)/l and had presented with aids defining symptoms. In the Netherlands, an estimated 40% of people infected with HIV do not know about their HIV status. Earlier recognition would reduce morbidity and mortality and furthermore, reduce transmission of the virus. For this reason we advocate routine HIV testing for all persons belonging to a population with an HIV prevalence above 0.2% but also for all patients presenting with unresolved chronic complaints, irrespective of HIV risk factors.
一名体重减轻的65岁男性、一名患有呼吸困难的65岁苏里南女性以及一名患有关节疼痛、体重减轻和腹泻的55岁女同性恋女性最终被诊断感染了艾滋病毒。确诊时，这三名患者的CD4细胞计数均低于100个细胞×10⁶/升，并出现了艾滋病界定症状。在荷兰，估计有40%的艾滋病毒感染者不知道自己的感染状况。早期诊断可以降低发病率和死亡率，此外，还能减少病毒传播。因此，我们主张对所有艾滋病毒感染率高于0.2%人群中的所有人进行常规艾滋病毒检测，同时也应对所有有未解决慢性疾病主诉的患者进行检测，无论其是否有艾滋病毒风险因素。
