原发性口腔结核作为HIV感染的一个指标

Khammissa R A G, Wood N H, Meyerov R, Lemmer J, Raubenheimer E J, Feller Liviu

Department of Periodontology and Oral Medicine, School of Oral Health Sciences, Faculty of Health Sciences, University of Limpopo (Medunsa Campus), Medunsa 0204, South Africa.

Patholog Res Int. 2010 Dec 20;2011:893295. doi: 10.4061/2011/893295.

We present a case of primary oral tuberculosis that led to the diagnosis of HIV infection. Our patient had clinically nonspecific ulcers on the labial mucosa and on the ventral surface of the tongue which were diagnosed as being tuberculous only on histological examination. This raised the suspicion of HIV infection that was subsequently confirmed by blood tests. The oral lesions resolved after 4 weeks of antituberculosis treatment. Some aspects of the pathogenesis of HIV-tuberculosis coinfection are discussed.

我们报告一例原发性口腔结核病例，该病例导致了HIV感染的诊断。我们的患者在唇黏膜和舌腹面有临床上无特异性的溃疡，仅在组织学检查时才被诊断为结核性溃疡。这引发了对HIV感染的怀疑，随后通过血液检测得以证实。抗结核治疗4周后，口腔病变消退。本文讨论了HIV-结核合并感染发病机制的一些方面。