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获得性免疫缺陷综合征中并存的口腔隐球菌病和卡波西肉瘤。

Coexistent oral cryptococcosis and Kaposi's sarcoma in acquired immunodeficiency syndrome.

作者信息

Kuruvilla A, Humphrey D M, Emko P

机构信息

Department of Pathology, SUNY Health Science Center, Syracuse 13210.

出版信息

Cutis. 1992 Apr;49(4):260-4.

PMID:1521478
Abstract

As experience with the acquired immunodeficiency syndrome has grown during the last decade, it has become important to recognize interactions between the opportunistic infections and malignancies that complicate the course of patients with acquired immunodeficiency syndrome. Our recent experience as described in this paper reveals that Kaposi's sarcoma and cryptococcal infection can associate in such a manner. The first reported case of oral Cryptococcus neoformans infection within a Kaposi's sarcoma lesion in a patient with acquired immunodeficiency syndrome is described. Based on the clinical course of this patient, it is an important consideration that the sarcoma may have harbored and even protected the fungus during systemic amphotericin B therapy.

摘要

在过去十年中,随着对获得性免疫缺陷综合征(艾滋病)的认识不断深入,认识到机会性感染与恶性肿瘤之间的相互作用对于艾滋病患者病情的发展具有重要意义。本文所述的我们近期的经验表明,卡波西肉瘤与隐球菌感染可能以这种方式相互关联。本文描述了首例艾滋病患者卡波西肉瘤病灶内发生口腔新型隐球菌感染的病例。基于该患者的临床病程,一个重要的考虑因素是,在全身使用两性霉素B治疗期间,肉瘤可能藏匿甚至保护了真菌。

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