病例报告：获得性免疫缺陷综合征中食管组织胞浆菌病合并播散性结核病

Case report: Esophageal histoplasmosis associated with disseminated tuberculosis in acquired immunodeficiency syndrome.

作者信息

Rezende Rosamar Eulira Fontes, Brunaldi Mariângela Ottoboni, Girão Milena Santana, Zucoloto Sérgio, Garcia Sérgio Britto, Machado Alcyone Artioli, Módena José Luiz Pimenta

机构信息

Department of Medicine, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.

出版信息

Am J Trop Med Hyg. 2009 Mar;80(3):347-50.

PMID:19270280

Abstract

Bacterial and fungal infections are common in acquired immunodeficiency syndrome (AIDS). Histoplasmosis is a common fungal disease in severely immunocompromised patients infected with human immunodeficiency virus (HIV) in endemic areas. In this population the most frequent form of presentation of histoplasmosis is disseminated, with the clinical manifestations being similar to those of disseminated tuberculosis. Esophageal histoplasmosis and the association of histoplasmosis with tuberculosis are infrequent. We report here a rare case of esophageal histoplasmosis associated with disseminated tuberculosis in AIDS.

摘要

细菌和真菌感染在获得性免疫缺陷综合征（艾滋病）中很常见。组织胞浆菌病是在流行地区感染人类免疫缺陷病毒（HIV）的严重免疫功能低下患者中常见的真菌疾病。在这一人群中，组织胞浆菌病最常见的表现形式是播散性的，其临床表现与播散性结核病相似。食管组织胞浆菌病以及组织胞浆菌病与结核病的关联并不常见。我们在此报告一例艾滋病患者中罕见的食管组织胞浆菌病合并播散性结核病的病例。