CAJ | 학술논문

本文报道1例非人类免疫缺陷病毒（HIV）感染儿童马内菲青霉病合并淋巴结结核。患儿2岁11个月，男性，因“发现耳后淋巴结肿大2年余，加重伴反复发热5个月”入院，经多种抗生素治疗无效。抗结核治疗后体温暂时消退，后反复发热。考虑真菌感染，予伏立康唑治疗，病情明显好转，骨髓穿刺培养找到马内菲青霉。患儿随访行淋巴结穿刺确诊淋巴结结核。结合该病例，本文就马内菲青霉病及其合并结核病的特点、临床表现、诊断、治疗等方面进行文献复习，以提高对该病的认识和诊断、治疗水平。
본문보도1례비인류면역결함병독（HIV）감염인동마내비청매병합병림파결결핵。환인2세11개월，남성，인“발현이후림파결종대2년여，가중반반복발열5개월”입원，경다충항생소치료무효。항결핵치료후체온잠시소퇴，후반복발열。고필진균감염，여복립강서치료，병정명현호전，골수천자배양조도마내비청매。환인수방행림파결천자학진림파결결핵。결합해병례，본문취마내비청매병급기합병결핵병적특점、림상표현、진단、치료등방면진행문헌복습，이제고대해병적인식화진단、치료수평。
A case of penicilliosis marneffei complicated with lymph node tuberculosis was reported .The boy was born in December 2010 and admitted for swollen lymph nodes behind the ear lasting for more than two years and aggravation with recurrent fever for 5 months .The human immunodeficiency virus (HIV) test was negative .He was treated with a variety of antibiotics but ineffective .After administration of anti-tuberculosis drugs ,his body temperature temporarily returned to normal ,but recurrent fever appeared .We considered the presence of fungal infections and treated him with voriconazole .The condition of the child was improved significantly . The culture of his bone marrow sample turned positive for Penicillium marneffei .The boy was diagnosed lymph node tuberculosis by lymph node biopsy .The clinical presentation , diagnosis and treatment of penicilliosis marneffei complicated with tuberculosis were discussed in the context of the literatures .