艾滋病合并卡氏肺孢子虫肺炎3例报道并文献复习

Reports and documents review of AIDS complicating PCP 3 instances

目的分析艾滋病(AIDS)合并卡氏肺孢子虫肺炎(PCP)的临床和影像学表现,总结其诊断经验。方法对3例AIDS合并PCP患者的临床资料进行回顾性分析,并进行相关文献复习。结果2例以发热、咳嗽、进行性呼吸困难为首发症状,影像学表现为双肺弥漫性磨玻璃影;1例以颅内占位、偏瘫为首发症状,影像学表现为局限于两上肺的磨玻璃影。结论AIDS合并单纯PCP时,有典型的临床和影像学表现;如合并结核等其它病原体感染时,可有不典型的临床和影像学表现应重视。

Objective To analyze the clinical manifestations and iconography about AIDS complicating PCP and to sum up the experience of the diagnosis. Methods Clinical data of the 3 cases of AIDS complicating PCP were retrospective analyzed and the pertinent literatures were reviewed. Results 2 cases showed first symptom as fever,cough, progressive dyspnea, and iconography showed diffnsivity ground glass opacity in double lungs. 1 instance showed first symptom as intracranial space occupy, hemiplegia, and iconography showed ground glass opacity was limited to the superior lobes of the two lungs. Conclusion When AIDS complicating simple PCP, it has classic symptom in clinic and iconography; when AIDS complicating PCP with other pathogen like tuberculosis, it has atypical symptom in clinic and iconography. Clinicians need to pay great attention to this, and to avoid diagnostic errors and missed diagnosis.