Kreft B, Oehme A, Lübbert C, Marsch W C, Kekulé A S
Universitätsklinik und Poliklinik für Dermatologie und Venerologie, Martin-Luther-Universität Halle-Wittenberg, Ernst-Kromayer-Strasse 5, 06097, Halle (Saale), Germany.
Internist (Berl). 2010 Aug;51(8):1050-2. doi: 10.1007/s00108-009-2563-z.
A 37-year-old homosexual man was admitted because of oropharyngeal pain, fever, diarrhea, loss of weight and lymphadenopathy since one week. Acute retroviral syndrome (ARS) in primary HIV type 1 infection was diagnosed, associated with Giardia lamblia infection. Antiinfective and combined antiretroviral treatment was established, and the general condition of the patient rapidly improved. The presented report demonstrates that in case of acute HIV-infection with diarrhea other infections should be considered, particularly with regard to enteropathogens like Giardia lamblia.
一名37岁的同性恋男子因口咽痛、发热、腹泻、体重减轻和淋巴结病入院，症状已持续一周。诊断为原发性1型人类免疫缺陷病毒（HIV）感染的急性逆转录病毒综合征（ARS），并伴有蓝氏贾第鞭毛虫感染。给予抗感染和联合抗逆转录病毒治疗，患者的一般状况迅速改善。本报告表明，在急性HIV感染伴有腹泻的情况下，应考虑其他感染，尤其是像蓝氏贾第鞭毛虫这样的肠道病原体感染。
