Chandrashekar U K, Acharya Vasudeva, Varghese George K, Rao Lakshmi
Department of Medicine, Kasturba Medical College, Manipal University, Manipal 576104, Karnataka, India.
Trop Doct. 2012 Jan;42(1):60-2. doi: 10.1258/td.2011.110320.
Although cryptococcosis with lung involvement is not rare in patients with HIV, it is rarely considered in the differential diagnosis of an abnormal chest roentgenogram. Pulmonary cryptococcosis with concomitant opportunistic infections is frequently seen among AIDS and its association with tuberculosis (TB) has been previously reported. Untreated pulmonary cryptococcosis in immunocompromised hosts usually becomes disseminated and results in considerable mortality despite antifungal therapy. We report a case of cryptococcosis with pulmonary involvement in a patient with coexisting disseminated TB in HIV infection.
尽管肺部受累的隐球菌病在艾滋病毒患者中并不罕见，但在胸部X线异常的鉴别诊断中很少被考虑。伴有机会性感染的肺隐球菌病在艾滋病患者中很常见，其与结核病（TB）的关联此前已有报道。免疫功能低下宿主中未经治疗的肺隐球菌病通常会播散，尽管进行了抗真菌治疗，仍会导致相当高的死亡率。我们报告了一例艾滋病毒感染患者同时存在播散性结核病且伴有肺部受累的隐球菌病病例。
