Department of Neurology, University of Miami, Coral Gables, FL, USA.
CNS Spectr. 2000 Apr;5(4):43-60. doi: 10.1017/s1092852900013110.
Neurologic disease is commonly encountered in the population infected with human immunodeficiency virus type 1 (HIV-1). Although HIV-1 is responsible for many of these neurologic complications, other organisms will affect the nervous system as the immune deficiency state progresses. With the wide use of potent antiretroviral therapy, the mortality from and incidence of opportunistic infections (OIs) among persons with advanced HIV-1 infection has decreased. Nevertheless, these diseases are still seen frequently, especially among those with limited access to new antiretroviral therapies. Therefore, it remains important to recognize the most common OIs of the central nervous system (CNS) as well as primary CNS lymphoma, which will be the focus of this review.
神经疾病在感染人类免疫缺陷病毒 1 型(HIV-1)的人群中很常见。虽然 HIV-1 是许多这些神经并发症的原因,但随着免疫缺陷状态的进展,其他生物体也会影响神经系统。随着强效抗逆转录病毒疗法的广泛应用,晚期 HIV-1 感染者中机会性感染(OIs)的死亡率和发病率已经降低。然而,这些疾病仍然很常见,尤其是在那些难以获得新的抗逆转录病毒疗法的人群中。因此,认识中枢神经系统(CNS)最常见的机会性感染以及原发性中枢神经系统淋巴瘤仍然很重要,这将是本次综述的重点。