中国麻风皮肤病杂志 ›› 2024, Vol. 40 ›› Issue (7): 457-458.doi: 10.12144/zgmfskin202407457

• 新发与再发感染性皮肤病 • 上一篇    下一篇

猴痘合并艾滋病及梅毒一例

杨国祥,张倩落,李刚刚,张媛,罗培培,邓涵   

  1. 西安市第八医院感染性疾病科,陕西西安,710000
  • 出版日期:2024-07-15 发布日期:2024-06-11

Monkeypox complicated with AIDS and syphilis: a case report

YANG Guoxiang, ZHANG Qianluo, LI Ganggang, ZHANG Yuan, LUO Peipei, DENG Han   

  1. Xi'an Eighth Hospital For Infectious Diseases Department, Xi'an 710000, China
  • Online:2024-07-15 Published:2024-06-11

摘要: 既往报道猴痘病情严重的患者中82%为HIV感染者,亦有免疫功能低下的HIV感染者感染猴痘病毒后死亡的报道。本文报道一例猴痘合并艾滋病、梅毒及局部细菌感染患者。患者ART抗病毒治疗依从性差,HIV病毒载量高,免疫功能低下,在感染猴痘病毒后出现了皮疹、发热、局部淋巴结肿大等典型特征,住院时间较本地区猴痘平均住院时间长,因此免疫功能低下的感染者病情较重,住院时间长,需引起足够重视。

关键词: 猴痘, 梅毒, 艾滋病, 高HIV病载, 免疫功能低下

Abstract: It was previously reported that 82% of the patients with severe monkeypox were HIV infected, and there were also reports that immunocompromised HIV patients died after being infected with the monkeypox virus. This paper reported a case of monkeypox complicated with AIDS, syphilis and local bacterial infection. The patient had poor compliance with ART antiviral therapy, and high HIV viral load, and low immune function. After being infected with monkeypox virus, typical features such as rash, fever, and local lymphadenopathy appeared, and the hospital stay was longer than the average hospital stay of monkeypox in the region. Therefore, patients with low immune function had serious condition, and the hospital stay was longer, which should be paid enough attention to.

Key words: monkeypox, syphilis, AIDS, high HIV load, immunocompromise