艾滋病患者并发弓形体病误诊分析

摘要

目的：为提高艾滋病合并弓形虫感染的认识和弓形虫形态学识别能力，避免误诊。方法文献复习艾滋病合并弓形虫感染患者的临床特征，弓形体病与黑热病的鉴别要点，以病原体图像比较利杜体、弓形虫形态特点。结果病例诊断为艾滋病合并弓形体病。结论误诊的主要原因是将骨髓中弓形虫速殖子误判为利杜体。%Obiective To improve knowledge on co-infection with toxoplasma among AIDS,and capacity of discernment on toxoplasma morphology. Avoid misdiagnose. Methods We reviewed clinical characteristics of co-fection with toxoplasma among AIDS by referring to literature. And distinguish main points between oxoplasmosis and kala-azar. We analyzed morphological characteristic of Leishman-Donovan body, toxoplasma on panspermia images. Results The case were diagnosed as toxoplasmosis among AIDS. Conclusion Major factor of misdiagnose is that we regarded toxoplasma gondii tachyzoite in bone morrow as Leishman-Donovan body.