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本文报道了治疗5例 AIDS 病合并 TSS 样综合征的经过。所有病人用酶联免疫吸附试验(ELISA)和免疫印渍技术证实 HIV 抗体阳性,都符合美国疾病控制中心(COC)通过的 AIDS 诊断标准.其中4例 CD4~+重度减少,1例中度减少.所有病例入院前都用过 zidovudine 治疗。本组病例分离到的葡萄球菌均证实为产毒菌株.5例中3例为 TSS—1,1例分离到 SEA。虽然所有病例都出现中毒休克综合征(TSS)的临床症状和体征,但仅2例(40%)至少有3个重要器官系统功能衰竭,这是确定 TSS 必不可少的诊断标准,也是临床上鉴别 TSS 和顽固性皮肤红斑脱屑(RED)的基本点.
This article reports the treatment of 5 AIDS patients with TSS-like syndrome. All patients were positive for HIV antibody by enzyme-linked immunosorbent assay (ELISA) and immunoblotting, and all met the AIDS diagnostic criteria passed by the US Centers for Disease Control and Prevention (COC), 4 of whom had severe CD4 ~ + reduction and 1 moderate reduction All cases were treated with zidovudine before admission. Staphylococcus aureus isolated in this group of patients confirmed to be toxigenic strains .5 cases of 3 cases of TSS-1, 1 cases isolated SEA. Although all patients had clinical signs and symptoms of toxic shock syndrome (TSS), only 2 (40%) had at least 3 vital organ system failures, which were essential diagnostic criteria for establishing TSS and were clinically Identify the basics of TSS and refractory skin erythema scaling (RED).