摘要
1病例报告
患者,男,61岁。咽部异物感3个月余,于2014年3月11日来我院就诊。患者无明显咽痛,进食正常,无低热,无慢性腹泻。体检：体型消瘦,营养状况较差;硬腭、软腭、咽部黏膜见大片不均匀白色膜状物,不易拭去,并延伸至喉部（图1）。
In the article we described a case of 61-year-old male with pharyngeal paraesthesia for 3months.Physical examination：lean physique;vast uneven white membrane above hard palate,soft palate and pharynx mucous membrane,not easy to wipe and extend to the throat.The neck without cervical lymph node enlargement.Blood routine test：WBC 4.92×10^9/L,N 64.3%,L 18.7%,EO 7.1%,RBC 4.08×1012/L,PLT 181×10^9/L.No significant abnormal in the other blood biochemical indexes,tumor marker and immune indexes;blood bacteria culture：negative;blood culture：negative;sputum culture（3times）：all negative;anti-HIV screening test：positive,serum HIV testing：positive（the test done by Shanghai Pudong new area′s centers for disease control and detection）.The incidence of HIV/AIDS is still low at present,so the diagnosis of HIV/AIDS can be ignored easily by the otolaryngology doctor.If the patient with oral cavity and pharyngeal ulcer delayed healing,the doctor should be alert to HIV/AIDS infection.We should check serum HIV antibody to eliminate or confirm HIV/AIDS earlier.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2015年第13期1226-1227,共2页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
浦东新区“已病防变特色专病”建设项目(No:PDZYXK-2-2014006)
关键词
HIV感染
耳鼻咽喉疾病
HIV infections
otorhinolaryngologic diseases
