一名HIV阳性患者因沙门氏菌感染导致复发性脑膜炎和蛛网膜下腔出血：病例报告及文献综述

Recurrent Meningitis and Subarachnoid Hemorrhage Due to Salmonella in an HIV+ Patient: Case Report and Mini-Review of the Literature.

作者信息

Belloso Waldo H, Romano Marina, Greco Graciela S, Davey Richard T, Perelsztein Ariel G, Sánchez Marisa L, Ajzenszlos Martín R, Otegui Inés M

机构信息

Infectious Diseases Section, Internal Medicine Service, Hospital Italiano de Buenos Aires, Argentina.

出版信息

Open AIDS J. 2011;5:62-6. doi: 10.2174/1874613601105010062. Epub 2011 Jul 11.

DOI:10.2174/1874613601105010062

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3139252/

Abstract

Meningitis due to non-typhi salmonella is infrequent in HIV-positive adults.We report a case of a patient with >300 CD4+ cells/mm3 who presented with five episodes of recurrent meningitis, focal subarachnoid hemorrhage and cerebral vasculitis ultimately attributed to Salmonella choleraesuis infection. Even within the cART era invasive salmonellosis can occur in unusual ways in HIV-infected patients.

摘要

非伤寒沙门氏菌引起的脑膜炎在HIV阳性成年人中并不常见。我们报告了一例CD4+细胞计数>300个/mm³的患者，该患者出现了五次复发性脑膜炎、局灶性蛛网膜下腔出血和脑血管炎，最终归因于猪霍乱沙门氏菌感染。即使在抗逆转录病毒治疗（cART）时代，侵袭性沙门氏菌病在HIV感染患者中仍可能以不寻常的方式发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/450b/3139252/68a47e45ec54/TOAIDJ-5-62_F1.jpg

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