부산대학교 도서관

We report the case of a 31-year-old woman who was admitted for an inhalation injury and second degree burn (11% TBSA) with multiple fractures. On day 4 after the injury, we detected Candida albicans in her sputa, urine and wounds. Informed consent for HIV testing was obtained and the test result was positive. She was diagnosed as having AIDS (acquired immunodeficiency syndrome) with candidiasis on the basis of laboratory evidence of HIV (human immunodeficiency virus) infection. We continuously examined her CD4+T-lymphocyte counts. The CD4+T-lymphocyte counts were 296cells/μl on day 11 after injury and had recovered to 459cells/μl by day 24 after injury. By hospital day 31, her burn wounds had healed. We conjectured that her base CD4+T-lymphocytes were low due to the HIV infection and that trauma had markedly diminished CD4+T-lymphocytes and caused candidiasis. We suggest that the injured HIV-positive patient must be treated more aggressively for opportunistic infection.