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获得性免疫缺陷(AIDS)病人,由于长期T细胞免疫缺陷可发生慢性病毒感染。疱疹病毒感染见于巨细胞病毒(CMV)、单纯疱疹病毒(HSV)、带状疱疹病毒(VZV)和Epstein-Barr病毒,它们可直接侵害或通过免疫机制影响脑和脊髓。作者报告一例AIDS患者由HSV所致脊髓病变。病例报告:异性男人,既往私自静脉注射海洛因和可卡因。因结肠炎致反复腹疼和腹泻两年,结肠活检诊断非特异性炎症,给予强的松和柳氮磺胺吡啶治疗,于1981年10月出现直肠出血、下背部疼痛和阳萎入院。两月后逐渐出现左眼视力丧失,持续性下背部和肛门周围疼痛,左下肢感觉异常和无力,左眼CMV脉络膜视网膜炎。肛门周围培养出HSV停用类固醇,遗留下肢远端轻度无力出院。一月后因出现左侧面部感觉异常、左手第4和5指麻木、
Acquired immune deficiency (AIDS) patients, due to chronic T-cell immune deficiency can occur chronic viral infection. Herpes virus infections are found in cytomegalovirus (CMV), herpes simplex virus (HSV), herpes zoster virus (VZV) and Epstein-Barr virus, which can directly invade or affect the brain and spinal cord through immune mechanisms. The authors report a case of myelopathy caused by HSV in AIDS patients. Case report: Heterosexual man, previously heroin and cocaine intravenously. Colon biopsy diagnosed nonspecific inflammation due to repeated abdominal pain and diarrhea due to colitis. Treatment with prednisone and sulfasalazine resulted in rectal bleeding, lower back pain and impotence hospitalizations in October 1981. Two months later, left eye loss of vision gradually, persistent lower back and anus pain, left lower extremity sensory abnormalities and weakness, left eye CMV chorioretinitis. HSV steroids were developed around the anus leaving the distal lower extremity mildly unable to discharge. After a month due to the left side of the facial feeling abnormalities, left hand 4 and 5 refers to numbness,