Markowitz S M, Kerkering T M, Gervin A S
Department of Medicine, Veterans Administration Medical Center, Richmond, VA 23249.
Va Med. 1990 Mar;117(3):114-6.
In summary, we have described a patient with AIDS and a previously unreported cause of biliary tract obstruction. The incidence of cryptococcal visceral lymphadenitis in patients with AIDS and disseminated cryptococcosis is unknown, but, if present, is probably clinically silent in most instances. However, in the differential diagnosis of abdominal pain and cholestasis in such patients, one should consider major biliary duct obstruction due to cryptococcal lymphadenitis.
总之,我们描述了一名患有艾滋病且有此前未报告的胆道梗阻病因的患者。艾滋病合并播散性隐球菌病患者中隐球菌性内脏淋巴结炎的发病率尚不清楚,但如果存在,在大多数情况下可能临床上并无症状。然而,在对此类患者腹痛和胆汁淤积进行鉴别诊断时,应考虑到隐球菌性淋巴结炎导致的主要胆管梗阻。