1 case of HIV infection with TB Case Report.docVIP

 PAGE \* MERGEFORMAT 4 1 case of HIV infection with TB Case Report Of: Wei-Hua Yang Yang Tao Yang Wenqin 1 clinical data  Chief Complaint: recurrent fever, weight loss 3 months History of present illness: patients 3 months to no incentive recurrent fever, high body temperature reached 40 ℃, irregular fever, with sweating, fatigue, occasional cough, sputum small amount of white foam, no hemoptysis, chest pain, abdominal pain. Obvious weight loss, weight by the 60 kg to 50 kg, poor appetite. nonprescription anti-inflammatory drugs have been out (specifically ominous, condition good times and bad. for the sake of further treatment at the hospital in July 2008, after the illness spirit, poor sleep, no diarrhea.  HIV confirmation time: May 30, 2008  June 1, 2008 CD4 tests 33 / ul  Hepatitis B and Hepatitis C checks were negative  Admission examination: vital signs stable, hit the left side of the neck of a number of 0.2 × 0.3cm lymph nodes, no touch pain, activities can, texture medium, small papules scattered facial skin, no swelling and ulceration, pharyngeal congestion, not tonsil , coarse breath sounds in both lungs, no rales dry sex, confidant (one pair of legs without swelling  Admission: WBC4.8 × 10  9/LN%: 89% L% 5.4% LYM: 0.26 × 10  9 / L HGB: 100G / L PLT: 73 × 10  9 / L ESR: 115mm/HAST/ADT; 67.6/36.2u/LALB: 23.1g / L TBIL / DBIL: 14.2/10.5umol/LBUN3.5mmol/L.  Chest X-ray showed: right middle lobe and left upper Ye Ji-onset pulmonary tuberculosis. Given after the first full admission cefotaxime sodium and levofloxacin in the treatment of patients condition improved after three days, the temperature dropped to 37.5 ℃ ray films did not change the original lesion.  4 days to find acid-fast bacilli sputum smear, given isoniazid rifampin, ethambutol, pyrazine first amine treatment. To the second week plus ART (AZT + EFV +3 TC medical treatments, a blood test a week after serving WBC: 7.3 × 10  9 / L, HGB: 70g / L,