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三名日本艾滋病患者的巨细胞病毒多发性神经根病

Cytomegalovirus polyradiculopathy in three Japanese patients with AIDS.

作者信息

Kameda Kazuaki, Shirano Michinori, Hadano Yoshiro, Kasamatsu Yu, Nakamura Tadahiro, Ota Makiko, Goto Tetsushi

机构信息

Department of Infectious Diseases, Osaka City General Hospital, Japan.

出版信息

Intern Med. 2015;54(5):513-8. doi: 10.2169/internalmedicine.54.2438. Epub 2015 Jan 15.

Abstract

Polyradiculopathy (PRP) is a rare but serious neurologic complication of cytomegalovirus (CMV) in patients with acquired immunodeficiency syndrome (AIDS). We herein report three cases of CMV PRP in patients with AIDS. Although providing a prompt diagnosis and initiating anti-CMV therapy may achieve clinical improvements, administering single-drug treatment may result in virologic failure. Therefore, introducing antiretroviral therapy is a key step for improving the treatment outcomes of CMV PRP.

摘要

多神经根病(PRP)是获得性免疫缺陷综合征(AIDS)患者中巨细胞病毒(CMV)罕见但严重的神经并发症。我们在此报告3例AIDS患者的CMV PRP病例。尽管及时诊断并开始抗CMV治疗可能会取得临床改善,但单一药物治疗可能会导致病毒学失败。因此,引入抗逆转录病毒疗法是改善CMV PRP治疗效果的关键步骤。

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