Pal Jyotirmoy, Karmakar Partha Sarathi, Ray Amab, Saha Santanu, Roy Krishnendu, Talukdar A, Roy M K, Debnath N B
Department of Medicine, IPGME&R and SSKM Hospital, Kolkata 700020.
J Indian Med Assoc. 2009 Jul;107(7):446-9.
HIV/AIDS is a new epidemic in current century. Predominant route of transmission is sexual. Virtually all systems are affected either directly by virus or by oppurtunistic infections or by malignancy. Neurological complications may occur at any stage of disease. Clinical manifestations may be acute, subacute or chronic. Presentation and diagnosis are often confusing. Central nervous system toxoplasmosis and tuberculous meningitis are commonest opportunistic infections in advanced HIV patients. Patients frequently present with focal neurodeficit. Mortality is high i.e., 13 (54%) out of 24 cases of opportunistic infectious in the study carried out at the SSKM Hospital during the period January 2005 to December 2006.
艾滋病毒/艾滋病是本世纪出现的一种新的流行病。主要传播途径是性传播。几乎所有系统都会直接受到病毒影响,或受到机会性感染或恶性肿瘤影响。神经并发症可能在疾病的任何阶段出现。临床表现可能为急性、亚急性或慢性。症状表现和诊断常常令人困惑。中枢神经系统弓形虫病和结核性脑膜炎是晚期艾滋病毒患者最常见的机会性感染。患者常常表现出局灶性神经功能缺损。死亡率很高,例如在2005年1月至2006年12月期间在SSKM医院进行的一项研究中,24例机会性感染病例中有13例(54%)死亡。