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艾滋病患者念珠菌性食管炎的治疗。

Treatment of candida esophagitis in AIDS patients.

作者信息

Deschamps M M, Pape J W, Verdier R I, DeHovitz J, Thomas F, Johnson W D

机构信息

Haitian Study Group on Kaposi's Sarcoma and Opportunistic Infections (GHESKIO), Port-Au-Prince, Haiti.

出版信息

Am J Gastroenterol. 1988 Jan;83(1):20-1.

PMID:3276150
Abstract

We conducted a randomized prospective study to compare the efficacy of oral miconazole and ketoconazole in the treatment of candida esophagitis in acquired immune deficiency syndrome (AIDS) patients in Haiti. Twelve AIDS patients with endoscopic and microscopic diagnoses of candida esophagitis were placed on either oral miconazole or ketoconazole for 10 days. All six patients receiving oral miconazole, and four of the six receiving ketoconazole had complete resolution of their esophageal lesions at the end of treatment. We conclude oral miconazole is at least as effective as ketoconazole in the treatment of candida esophagitis in AIDS patients.

摘要

我们进行了一项随机前瞻性研究,以比较口服咪康唑和酮康唑治疗海地获得性免疫缺陷综合征(AIDS)患者念珠菌食管炎的疗效。12例经内镜和显微镜诊断为念珠菌食管炎的AIDS患者,分别接受口服咪康唑或酮康唑治疗10天。所有6例接受口服咪康唑治疗的患者,以及6例接受酮康唑治疗的患者中的4例,在治疗结束时食管病变均完全消退。我们得出结论,口服咪康唑在治疗AIDS患者念珠菌食管炎方面至少与酮康唑一样有效。

相似文献

1
Treatment of candida esophagitis in AIDS patients.艾滋病患者念珠菌性食管炎的治疗。
Am J Gastroenterol. 1988 Jan;83(1):20-1.
2
Ketoconazole in the prevention of candidiasis in patients with cancer. A prospective, randomized, controlled, double-blind study.酮康唑预防癌症患者念珠菌病。一项前瞻性、随机、对照、双盲研究。
Arch Intern Med. 1987 Apr;147(4):710-2.
3
[Treatment of esophageal candidiasis with fluconazole in acquired immunodeficiency syndrome. Comparative study of 2 therapeutic schemes].[氟康唑治疗获得性免疫缺陷综合征食管念珠菌病。两种治疗方案的比较研究]
Med Clin (Barc). 1992 Apr 25;98(16):612-7.
4
[Fluconazole in the treatment of esophageal, bronchial and oral candidiasis in patients with ARC and AIDS].
G Ital Chemioter. 1988 Jan-Dec;35(1-3):61-8.
5
Opportunistic infections of the esophagus not responding to oral systemic antifungals in patients with AIDS: their frequency and treatment.艾滋病患者中对口服全身性抗真菌药物无反应的食管机会性感染:其发生率及治疗
Am J Gastroenterol. 1991 Dec;86(12):1729-34.
6
Prospective evaluation of blind brushing of the esophagus for Candida esophagitis in patients with human immunodeficiency virus infection.对人类免疫缺陷病毒感染患者进行食管念珠菌食管炎盲刷检的前瞻性评估。
Am J Gastroenterol. 1990 Apr;85(4):385-9.
7
Ketoconazole treatment of Candida esophagitis--a prospective study of 12 cases.酮康唑治疗念珠菌性食管炎——12例前瞻性研究
Am J Gastroenterol. 1983 May;78(5):261-4.
8
Prevention of symptomatic recurrences of esophageal candidiasis in AIDS patients after the first episode: a prospective open study.
Am J Gastroenterol. 1994 Mar;89(3):416-20.
9
Ketoconazole-resistant Candida esophagitis in patients with acquired immunodeficiency syndrome.获得性免疫缺陷综合征患者的酮康唑耐药性念珠菌食管炎
Gastroenterology. 1986 Feb;90(2):443-5. doi: 10.1016/0016-5085(86)90946-7.
10
Comparative efficacy of topical therapy with a slow-release mucoadhesive buccal tablet containing miconazole nitrate versus systemic therapy with ketoconazole in HIV-positive patients with oropharyngeal candidiasis.含硝酸咪康唑的缓释黏附性口腔片局部治疗与酮康唑全身治疗对HIV阳性口咽念珠菌病患者的疗效比较
J Acquir Immune Defic Syndr. 2004 Feb 1;35(2):144-50. doi: 10.1097/00126334-200402010-00007.

引用本文的文献

1
Experimental oral candidiasis in animal models.动物模型中的实验性口腔念珠菌病。
Clin Microbiol Rev. 2001 Apr;14(2):398-429. doi: 10.1128/CMR.14.2.398-429.2001.
2
Fluconazole in the treatment of fungal infections associated with AIDS.
Infection. 1989 May-Jun;17(3):121-3. doi: 10.1007/BF01644009.
3
Esophageal candidiasis in AIDS. Successful therapy with clotrimazole vaginal tablets taken by mouth.
Dig Dis Sci. 1991 Mar;36(3):279-81. doi: 10.1007/BF01318196.
4
Role of CD4+ lymphocytes in resistance to mucosal candidiasis.
CD4 + 淋巴细胞在抵抗黏膜念珠菌病中的作用。
Infect Immun. 1991 Jul;59(7):2447-55. doi: 10.1128/iai.59.7.2447-2455.1991.