摘要
马尔尼菲篮状菌(TM)是一种机会性致病菌,主要发生于HIV感染者,而近年来关于非HIV患者的报道逐年增多,与机体的免疫功能低下有关。儿童免疫功能低下的主要因素为各种原发性免疫缺陷,成人免疫功能低下的主要因素则为抗γ干扰素抗体综合征、自身免疫性疾病、激素和/或免疫抑制剂使用、恶性肿瘤、糖尿病等。非HIV马尔尼菲篮状菌病患者的临床表现以播散型感染最为常见,可能合并其他机会性感染、继发噬血细胞综合征。HIV与非HIV马尔尼菲篮状菌病患者的临床表现及预后存在一定差异,且目前尚无关于非HIV马尔尼菲篮状菌病的标准治疗方案。本研究对非HIV马尔尼菲篮状菌病的流行病学、免疫功能低下因素、临床表现、诊断、治疗和预后进行综述。
Talaromyces marneffei is an opportunistic pathogen,which mainly occurs in human immunodeficiency virus(HIV)-infected patients.Whereas,non-HIV talaromycosis patients increased in recent yearswhich was related to the compromised immune conditions of hosts.The most common underlying diseases in children were various primary immunodeficiency diseases.The most common underlying diseases in adults were anti-interferon-gamma autoantibody(AIGA)syndrome,autoimmune diseases,glucocorticoid and/or immunosuppressive therapy,malignancy,diabetes and so on.Most non-HIV talaromycosis patients occurred disseminated infection,and might coinfected with other opportunity pathogens and had secondary hemophagocytic lymphohistiocytosis.The clinical manifestations and prognosis of non-HIV talaromycosis patients were different from that of HIV-infected patients.Herein,we reviewed the epidemiology,immunodeficiency,clinical manifestations,diagnosis,treatment and prognosis of non-HIV talaromycosis.
作者
黄丽萍
陆艾丽
彭劼
Huang Liping;Lu Aili;Peng Jie(Department of Infectious Diseases,Southern Medical University Nanfang Hospital,Guangzhou 510515,China)
出处
《新发传染病电子杂志》
2022年第2期89-94,共6页
Electronic Journal of Emerging Infectious Diseases
基金
国家自然科学基金(81971949)。
