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胃隐孢子虫病作为获得性免疫缺陷综合征诊断的线索。

Gastric cryptosporidiosis as a clue for the diagnosis of the acquired immunodeficiency syndrome.

作者信息

Clemente C M, Caramori C A, Padula P, Rodrigues M A

机构信息

Departments of Pathology and Medicine, Division of Gastroenterology, Faculdade de Medicina de Botucatu-FMB-UNESP, Botucatu, SP, Brazil.

出版信息

Arq Gastroenterol. 2000 Jul-Sep;37(3):180-2. doi: 10.1590/s0004-28032000000300008.

Abstract

Cryptosporidium parvum has been detected with increasing frequency in the gastrointestinal tract, but involvement of the stomach is rarely reported. Whenever found in the histologic examination of the gastrointestinal mucosa, it should raise the suspicion of an immunocompromised host. We report a case of Cryptosporidium-associated erosive gastritis in a 64-year-old woman, who was found later to have the acquired immunodeficiency syndrome. Gastroduodenoendoscopy and biopsy of the gastric mucosa played an invaluable role in the diagnosis of cryptosporidiosis and to disclose the underlying immunodeficiency state.

摘要

微小隐孢子虫在胃肠道中的检出频率日益增加,但胃受累的情况鲜有报道。无论何时在胃肠道黏膜组织学检查中发现,都应怀疑宿主存在免疫功能低下。我们报告一例64岁女性患隐孢子虫相关性糜烂性胃炎的病例,该患者后来被发现患有获得性免疫缺陷综合征。胃十二指肠内镜检查及胃黏膜活检在隐孢子虫病的诊断及揭示潜在免疫缺陷状态方面发挥了重要作用。

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