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HIV 感染的神经学方面综述。

Review of the neurological aspects of HIV infection.

机构信息

Department of Neurology, The Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Inkosi Albert Luthuli Central Hospital, Private Bag X03, Mayville, 4058 Durban, South Africa.

Department of Neurology, The Nelson R Mandela School of Medicine, University of KwaZulu-Natal, Inkosi Albert Luthuli Central Hospital, Private Bag X03, Mayville, 4058 Durban, South Africa.

出版信息

J Neurol Sci. 2021 Jun 15;425:117453. doi: 10.1016/j.jns.2021.117453. Epub 2021 Apr 16.

Abstract

There are almost 40 million people in the world who live with the human immunodeficiency virus (HIV). The neurological manifestations associated with HIV contribute to significant morbidity and mortality despite the advances made with anti-retroviral therapy (ART). This review presents an approach to classification of neurological disorders in HIV, differentiating diseases due to the virus itself and those due to opportunistic infection. The effects of antiretroviral therapy are also discussed. The emphasis is on the developing world where advanced complications of HIV itself and infections such as tuberculosis (TB), toxoplasmosis and cryptococcal meningitis remain prevalent.

摘要

全球有近 4000 万人感染人类免疫缺陷病毒(HIV)。尽管抗逆转录病毒疗法(ART)取得了进展,但与 HIV 相关的神经表现仍是导致发病率和死亡率居高不下的重要原因。本文介绍了 HIV 相关神经障碍的分类方法,区分了由病毒本身引起的疾病和由机会性感染引起的疾病。还讨论了抗逆转录病毒治疗的影响。重点放在发展中国家,那里 HIV 本身的晚期并发症和结核病(TB)、弓形体病和隐球菌性脑膜炎等感染仍然很普遍。

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