Ferry T, Ponceau B, Gaultier J B, Piens M A, Biron F, Picot S, Chidiac C, Peyramond D
Service des Maladies Infectieuses et Tropicales, Hôpital de la Croix-Rousse, 103 Grande-rue de la Croix-Rousse, 69317 Lyon Cedex 04, France.
J Infect. 2005 Oct;51(3):e173-6. doi: 10.1016/j.jinf.2004.12.017.
We report the first case in Europe of co-infection with disseminated cryptococcosis and histoplasmosis. The diagnosis of invasive histoplasmosis was confirmed by microscopic examination of the anatomic right colon specimen (hemicolectomy). Histoplasma antigen detection is not yet available in France but it could have a key role in the early diagnosis of disseminated histoplasmosis co-existing with a cryptococcal infection, especially in HIV-infected African people.
我们报告了欧洲首例播散性隐球菌病和组织胞浆菌病合并感染的病例。通过对解剖学右半结肠标本(半结肠切除术)进行显微镜检查,确诊为侵袭性组织胞浆菌病。法国目前尚无组织胞浆菌抗原检测方法,但该检测在早期诊断与隐球菌感染并存的播散性组织胞浆菌病中可能具有关键作用,尤其是在感染艾滋病毒的非洲人群中。