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艾滋病患者的播散性组织胞浆菌病:病例报告及文献复习

Disseminated histoplasmosis in a patient with AIDS: case report and review of the literature.

作者信息

Paul Amy Y, Aldrich Shelley, Scott Rolf Sjuve, Ellis Michael W

机构信息

Department of Dermatology, Evans Army Community Hospital, Fort Carson, CO 80913, USA.

出版信息

Cutis. 2007 Oct;80(4):309-12.

Abstract

Disseminated histoplasmosis was uncommon prior to the AIDS epidemic, and cutaneous eruption rarely was seen. Since the onset of the worldwide AIDS epidemic, histoplasmosis has become a more common opportunistic fungal infection and should be considered in the differential diagnosis of mucocutaneous lesions in patients with AIDS in endemic areas. We report a case of classic disseminated histoplasmosis in a patient with AIDS and discuss the epidemiology, clinical presentation, pathogenesis, laboratory and histopathologic findings, and treatment options for disseminated histoplasmosis.

摘要

播散性组织胞浆菌病在艾滋病流行之前并不常见,皮肤疹也很少见。自全球艾滋病流行以来,组织胞浆菌病已成为一种更常见的机会性真菌感染,在流行地区艾滋病患者黏膜皮肤病变的鉴别诊断中应予以考虑。我们报告一例艾滋病患者的经典播散性组织胞浆菌病病例,并讨论播散性组织胞浆菌病的流行病学、临床表现、发病机制、实验室和组织病理学检查结果以及治疗方案。

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