以发热和淋巴结肿大为首发症状的获得性免疫缺陷综合征一例误诊分析并相关文献复习

Acquired Immunodeficiency Syndrome with Fever and Lymphadenectasis as Initial Symptom: Analysis of One Misdiagnosed Case and Review of Relevant Literatures

获得性免疫缺陷综合征可侵犯人体多个器官,引起众多症状,极易误诊。本文报道的病例由于免疫力极度低下,引起发热,白细胞计数减少,纵隔和腹膜后淋巴结肿大,误诊为淋巴结结核,经治疗好转,1年后再次出现发热,头痛,症状复发,累及脑膜,才考虑获得性免疫缺陷综合征,经对因治疗病情好转。通过本病例提示,获得性免疫缺陷综合征可累及全身器官,诊断时需要全面考虑,综合分析,以减少误诊。

Acquired immune deficiency syndrome （AIDS） , violating multiple human organs to lead many symptoms, is easily misdiagnosed. This patient was misdiagnosed as lymph node tuberculosis because of fever, decreased white blood cell count, mediastina and retroperitoneal lymphadenectasis, and improved after treatment. And AIDS came into considerations until fever, headache and other symptoms recurred, involving meninges after 1 year. It suggests that AIDS may involve all human or- gans and full account, comprehensive analysis need in its diagnosis to reduce misdiagnoses.