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艾滋病患者并存隐球菌和分枝杆菌性淋巴结炎的细胞诊断

Cytodiagnosis of coexistent cryptococcal and mycobacterial lymphadenitis in a case of AIDS.

作者信息

Anvikar Arti R, Gosavi Alka V, Kulkarni Medha P, Lanjewar Dn

机构信息

Department of Pathology, Government Medical College, Miraj, Maharashtra, India.

出版信息

J Cytol. 2011 Jan;28(1):25-7. doi: 10.4103/0970-9371.76945.

Abstract

Multiple infections are a common feature of acquired immunodeficiency syndrome (AIDS), but coexistent infections at the same site are rare. In this report, we describe a 35-year-old human immunodeficiency virus infected male with coexistent cryptococcal and mycobacterial lymphadenitis. He presented with generalised lymphadenopathy. Fine needle aspiration cytology of enlarged cervical lymph node, aided by special stains, revealed coexistent cryptococcal and mycobacterial infection. Coexistent infections pose diagnostic problems in AIDS patients and are likely to be missed. Special stains are valuable for accurate diagnosis of coexistent infections.

摘要

多重感染是获得性免疫缺陷综合征(艾滋病)的一个常见特征,但同一部位并存感染的情况却很罕见。在本报告中,我们描述了一名35岁感染人类免疫缺陷病毒的男性,他同时患有隐球菌性和分枝杆菌性淋巴结炎。他表现为全身性淋巴结病。通过特殊染色辅助,对肿大的颈部淋巴结进行细针穿刺细胞学检查,发现同时存在隐球菌和分枝杆菌感染。并存感染给艾滋病患者带来诊断难题,很可能被漏诊。特殊染色对于准确诊断并存感染很有价值。

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