Unkle David W, Ricketti Anthony J, Cleri Dennis J, Moser Robert L, Vernaleo John R
University of Medicine & Dentistry of New Jersey, School of Nursing, USA.
AIDS Read. 2008 Nov;18(11):566-8.
Pneumonia remains a concern for persons with long-standing HIV infection. We present a case of a 43-year-old HIV-infected woman with bilateral pneumonia whose presentation suggested the cause was a bacterial pathogen. A chest of radiograph and CT scan of the chest revealed infiltrates and adenopathies, but this did not help in the differential diagnosis. A Gram stain of a sputum specimen revealed gram-positive filamentous rods, and infection with Nocardia asteroides was diagnosed. The patient was started on a regimen of ceftriaxone and trimethoprim/sulfamethoxazole and experienced significant improvement within a few days.
肺炎仍然是长期感染艾滋病毒者需要关注的问题。我们报告一例43岁感染艾滋病毒的女性双侧肺炎病例，其临床表现提示病因是一种细菌病原体。胸部X光片和胸部CT扫描显示有浸润和淋巴结肿大，但这对鉴别诊断并无帮助。痰标本革兰氏染色显示革兰氏阳性丝状杆菌，诊断为星形诺卡菌感染。患者开始使用头孢曲松和甲氧苄啶/磺胺甲恶唑治疗方案，数天内病情有显著改善。
