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两名感染HIV患者并发严重免疫重建综合征的感染治疗管理

Treatment management of infection complicated by severe immune reconstitution syndrome in two patients living with HIV.

作者信息

Rodriguez Chelsea, Salas Natalie Mariam, Begay-Bruno Matthew, Brett Meghan, Byrd Tom F, Ruan Lucy, Jakeman Bernadette

机构信息

Department of Pharmacy, 21764University of New Mexico Hospitals, Albuquerque, NM, USA.

Department of Internal Medicine, Division of Infectious Diseases, 1104University of New Mexico Hospitals, Albuquerque, NM, USA.

出版信息

Int J STD AIDS. 2023 Apr;34(5):355-360. doi: 10.1177/09564624221151090. Epub 2023 Jan 11.

DOI:10.1177/09564624221151090
PMID:36629094
Abstract

Nontuberculosis mycobacterium are increasingly being identified as sources of disseminated infections in immunocompromised patients. These infections can be challenging to identify and treat due complexities of diagnosis and inherent resistance to many medications. We present two cases of patients with human immunodeficiency virus who had infections, complicated by immune reconstruction inflammatory syndrome (IRIS). We also present a review of the English literature surrounding the disease, including reported resistance patterns to antimicrobial therapy, which can be highly variable.

摘要

非结核分枝杆菌越来越多地被确认为免疫功能低下患者播散性感染的来源。由于诊断的复杂性以及对多种药物的固有耐药性,这些感染的识别和治疗可能具有挑战性。我们报告了两例感染人类免疫缺陷病毒的患者,他们的感染因免疫重建炎症综合征(IRIS)而复杂化。我们还对围绕该疾病的英文文献进行了综述,包括报告的对抗菌治疗的耐药模式,其可能差异很大。

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