小儿艾滋病误诊3例

Three Cases of Misdiagnosed Children AIDS

目的探讨小儿艾滋病的临床表现和传播途径,并进行误诊误治分析。方法回顾性分析本院2006-2009年收治的3例艾滋病患儿的临床表现、实验室检查及误诊情况。结果3例患儿人类免疫缺陷病毒(HIV)抗体均为阳性,其母亲HIV抗体也均为阳性,为母婴垂直传播。患儿发病年龄在1～2岁,病程3个月～2年,临床表现均有不同程度的发热、慢性腹泻、消瘦及口腔真菌感染,其中1例有败血症及马尼菲青霉菌病,在门诊均存在误诊误治。结论儿童艾滋病以发热、慢性腹泻、消瘦及口腔真菌感染为主要临床表现,在临床工作中要高度警惕,以防误诊误治。母婴垂直传播是重要的传播途径。

Objective To explore the manifestation,route of transmission,and misdiagnosis of 3 AIDS children.Methods The manifestation,laboratory examination and misdiagnosis of 3 AIDS children from our hospital during 2006～2009 were retrospectively analyzed.Results Three children diliveried by anti-HIV positive mothers infected with HIV by meanings of vertical transmission.The onset age was from 1～2 years old.The course of disease individual history varied from three months to two years.The main manifestations include various degree fever,chronic diarrhea,lose flesh and oral fungus infection,1 case with septicemia and penicilliosis marneffei.All of them were misdiagnosed and improperly treated in out-patient clinic.Condusion Vertical transmission was main route of AIDS of child.The main manifestations of children AIDS include fever,chronic diarrhea,lose flesh and oral furgus infection.Physician should pay more attention to children AIDS so as to avoid misdiagnosis and improper treatment.