Joore J C, Marcelis J H, Sie-Go D M, Borleffs J C, Hoepelman I M
Afd. Algemene Inwendige Geneeskunde, werkgroep Immunologie en Infectie, Academisch Ziekenhuis, Utrecht.
Ned Tijdschr Geneeskd. 1990 Sep 29;134(39):1908-10.
The history of 29-year-old male from Surinam with antibodies to HIV-1 and long-lasting fever, lymphadenopathy, pain in the right upper abdomen and a granulomatous hepatitis is described. The patient suffered from disseminated histoplasmosis, a fungal disease rare in The Netherlands, which is the indicator disease for the diagnosis of AIDS (CDC-IVCI). It is stressed that in seropositive patients coming from endemic areas, including Surinam, the possibility of this disease should be considered.
描述了一名来自苏里南的29岁男性的病史,他有抗HIV-1抗体,伴有持续发热、淋巴结病、右上腹疼痛和肉芽肿性肝炎。该患者患有播散性组织胞浆菌病,这是一种在荷兰罕见的真菌疾病,是诊断艾滋病(疾病控制与预防中心-IVCI)的指示性疾病。强调对于来自包括苏里南在内的流行地区的血清阳性患者,应考虑这种疾病的可能性。