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本文作者报道1例 AIDS 伴发单纯疱疹病毒感染所造成的脊髓病。患者为异性恋男性病人,有静注海洛因和可卡因史。1974年患过肝炎。无同性恋史。1980~1982年反复腹痛、腹泻。结肠活检证实为非特异性炎症改变,以后病情多次反复。1982年1月入院后又出现整个面部左侧感觉异常,左手第4、5指、左侧腹部及左股外侧麻木。检查见肛周皮肤擦伤和疱疹性皮疹。左尺神经分布区及左股外侧痛觉消失。血、尿、咽部及骨髓多次培养出巨细胞病毒(cytomegalovirus,CMV),皮肤培养出单纯疱疹病毒。连续6周 IgG 补体结合滴定度为1:8,CMV 1:2,HBV 1:2。T 细胞亚群
The authors report 1 case of myelopathy caused by herpes simplex virus infection associated with AIDS. The patient is a heterosexual male and has a history of heroin and cocaine intravenously. Hepatitis was found in 1974. No homosexual history. 1980 ~ 1982 repeated abdominal pain, diarrhea. Colon biopsy confirmed non-specific inflammatory changes, after repeated multiple disease. January 1982 appeared after the left side of the face felt abnormalities on the left, the first 4,5 left hand, the left abdomen and the left lateral numbness. Check see perianal skin abrasions and herpes rash. Left ulnar nerve distribution and left lateral pain disappeared. The blood, urine, pharynx and bone marrow repeatedly cultured cytomegalovirus (cytomegalovirus, CMV), the skin cultured herpes simplex virus. IgG complement fixation titer was 1: 8, CMV 1: 2 and HBV 1: 2 for 6 weeks. T cell subsets