October 05, 2022

“AIDS Phobia” is “mentally ill” do?

“AIDS” is suspected to be caused by bacterial infection

The Third Military Medical University and other units jointly investigate psychological factors that are not the main cause of disease

In the eyes of the doctors, this group of people is clearly not sick. They say they are sick. They go to multiple departments and do various examinations again and again. Although the results of the examinations are not different, they still do not hesitate to spend the same examination in different hospitals, just for Prove that you are sick. Prior to this, the Ministry of Disease Control and Health of China stated on multiple public occasions that “mental factors” led to negative AIDS (“AIDS”).

However, after a joint investigation by the Third Military Medical University’s Military Preventive Medicine Epidemiology Teaching and Research Office and the Department of Respiratory Medicine, Southwest Hospital, it was determined that this group was not “diseased looking for disease” or “diseased groaning”, and was not a “mental illness” conclusively concluded. Through the testing of more than 200 “patients”, it was initially suspected of non-tuberculous mycobacterial infection, and high-risk sexual behavior was one of the exposure factors.

Is “AIDS” a “mental illness”?

Psychological factors are not the main cause of illness

The investigation team is composed of 14 experts. The person in charge stated that the main conclusion of the investigation overturned the “psychiatric” theory.

This survey object includes 174 online patients and 52 on-site observations. On the one hand, this group has obvious common symptoms, such as white and thick tongue coating, dry skin, snapping joints, and repeated swelling in the lymph node area. At the same time, medical test results also prove that most people have “really problematic” physical functions. Among the surveyed population, people with low CD4 (an important immune cell in the human immune system), gamma interferon antibody positive, PPD (tuberculin test) positive, etc. account for a certain proportion.

At the same time, in terms of the distribution characteristics of “patients”, they have a large age span, mainly middle-aged and young men, and involve different occupations, including working staff and college students. This is obviously inconsistent with the characteristics of people with mental disorders in my country. The latter are mainly women and the elderly, and their causes are mostly caused by social pressure.

“Psychological problems definitely exist, but on the other hand, this disease itself can also cause nervous system disorders and aggravate anxiety.” The person in charge of the investigation team said that if only psychological factors are used to explain, it is obviously not objective enough. He introduced that most of the “patients” involved in the investigation had high-risk sexual behaviors. They were suspected of being infected with HIV because of their physical discomfort, and they carried out repeated clinical visits and tests. During the whole process, anxiety and depression were serious. In addition, the acute “symptoms” of such patients are similar to upper respiratory tract infections and digestive tract infections, and the main complaints in the stable stage deviate from the results of routine clinical testing. Therefore, clinicians are likely to infer this phenomenon to psychological effects.

What kind of disease is “AIDS”?

The culprit may be related to non-tuberculous mycobacteria

The person in charge of the investigation team said that after analysis, there are currently two diseases similar to AIDS-like syndrome “patients” worldwide. After comparing the various characteristics of the population under investigation, one of them is ruled out and the culprit is eliminated. It is initially locked as non-tuberculous mycobacteria (NTM), which is a kind of bacteria that is widely present in nature and can be inhaled through a large number of respiratory tracts, broken skin contact, bacterial colonization, and at the same time with low human immunity and other reasons.

The survey results show that, on the one hand, the course and symptoms of “patients” can be divided into acute phase and stable phase. In the acute phase, symptoms such as low fever, abdominal pain, lymph node and skin nodules occur frequently; while in the stable phase, they will appear. White and thick tongue coating, chronic pharyngitis, bone pain, joint bounce, exhaust, etc. This is similar to the common symptoms of people infected with nontuberculous mycobacteria.

On the other hand, the common nodular lesions, lymphatic obstruction, pain and neurological symptoms, eruptive impetigo, diarrhea, etc., which are common to those infected with the bacteria, coincide with the survey “patients”. Among the 14 indicators for comparison, 5 of the surveyed persons have the same distribution characteristics as those infected with the bacteria. Among them, 75.00% of the surveyed persons were strongly positive for PPD, which is an important sign of the possibility of mycobacterial infection. one.

At the same time, due to the high resistance and drug resistance of the bacteria, the symptoms are prone to chronicity and repetition. “This is by no means a coincidence”, but because it does not exactly match the indicators of non-tuberculous bacilli, the investigation team believes that the “patient” is initially identified. It is infected with bacteria or “flora” that are close to nontuberculous mycobacteria. However, the investigation team admitted that in view of the small number of cases, the limited detection technology, and most patients with self-reported symptoms, this conclusion needs to be analyzed by multidisciplinary knowledge and methods.

Why can’t it be found after multiple inspections?

Bacterial mutation fast clinical testing “do not hurry”

“Existing medical routine tests do not include such bacteria-related test indicators, resulting in no abnormal results in routine tests. The person in charge said for example that he had taken a “patient” with severe and painful bone and joint disease to the relevant department. Asked an expert for consultation. The patient was one of the strong positive PPD test results, but the expert saw that the patient was able to walk on his own, but he did not agree.

Some patients even went to Russia and the United States to find the cause of the disease. What is the reason? “Because the bacterial infection is very serious, the doctor will know the disease at first glance, but this group of people is caused by the mutated bacterial infection, and the symptoms are slow and slow. It’s not serious. Like the plague, the previous symptoms were bleeding, high fever, and lymph node nodules, but in the current case, the patient had a cold and died shortly afterwards. At the time, the doctor thought it was impossible. After the investigation, they knew it was the plague.” The person in charge of the group said that the excessive use of antibiotics will “weaken” or “change the appearance” of the original symptoms of the bacteria, which also brings certain difficulties to detection and diagnosis.

“Tuberculosis is mycobacterium infection. It used to be cultivated in two months, but now it can be cultivated in one week. The bacteria change rapidly. The same is true for non-tuberculous mycobacteria.” The person in charge gave an example. However, the expert group said that non-tuberculous mycobacteria are not new bacteria or strong pathogens. In recent years, the infection and prevalence of nontuberculous mycobacteria have been on the rise worldwide. Among them, Central and South Asia is more prominent. In addition to iatrogenic infections, occupational exposures (fisheries, agriculture) also have outbreaks.

Is the group of “patients” large?

The exposed patients are just the tip of the iceberg

“Don’t just look at these people who already know that they are’ill.’ There are still many people who come in and out of the hospital and don’t know where the problem is.” The person in charge of the investigation team said that these patients now exposed are just the tip of the iceberg. The AIDS-like disease that appeared in Taiwan was initially said to be a psychological problem, but it was later discovered that it was not, so in-depth investigation is meaningful.

He also said that it is not yet certain whether this bacterial infection will spread from person to person, “because it is currently mainly based on the retrospective oral narration of patients, once it is mentioned that bringing family members or bringing high-risk sexual behaviors, Or we offered to go to the house and take samples of wives and children who were’samely infected’, but they were unsuccessful. On the one hand, some’patients’ think this is personal privacy and the information provided is not accurate; on the other hand, Some patients have been infected for many years, which are late-stage infections, and sampling is no longer meaningful. Only early-stage patients can collect effective things.”

The person in charge of the investigation team said that there are still many difficulties in the next research. “We want to reconfirm, but on the one hand, it is not our strength to do animal testing, and we have to spend a lot of manpower and material resources; on the other hand, if we measure It may be a certain kind of bacteria, then the sequence of the bacteria must be determined and compared with the pathogenic bacteria under current conditions. It takes tens of thousands of yuan to determine a kind of bacteria, and it takes a long time.” But he said: “Hopefully Through our efforts, more people’s attention has been drawn.”


Abnormal individual indicators don’t explain much

Chen Zhihai, director of the Department of Infectious Diseases of Beijing Ditan Hospital, said that normal people do the most basic blood routine tests, and it is impossible for each of the many indicators to be within the normal range. Some indicators beyond the normal range do not explain anything, the main thing is Due to psychological factors.

Another expert of the hospital believes that there are many causes of immunodeficiency. Once immunodeficiency occurs, serious opportunistic infections are prone to occur. Of course, most of the reasons can be found, but there are indeed a few that have not been found. But there is one thing in common (including AIDS), that is, the consequence is that the immune function is low and serious opportunistic infections appear, as reported in foreign articles, but the domestic “AIDS fear” is different. “We are in contact with The people who arrived only felt uncomfortable in one way or another, but there was no evidence of organ damage such as the heart, liver, kidney, lung and brain, and no opportunistic infection. The human body contains a large number of viruses and bacteria. As long as it does not cause damage, there is no need to worry. The so-called damage is that there is a problem in our body. Although we may sometimes be confused about what pathogenic microorganisms are infected, the doctor still knows whether the body is diseased.”