Ablanedo-Terrazas Yuria, Ormsby Christopher E, Reyes-Terán Gustavo
Centro de Investigación en Enfermedades Infecciosas, Instituto Nacional de Enfermedades Respiratorias, Mexico City, Mexico.
Case Rep Med. 2012;2012:679728. doi: 10.1155/2012/679728. Epub 2012 Mar 1.
Actinomyces and Mycobacterium avium-intracellulare are facultative intracellular organisms, members of the bacterial order actinomycetales. Although Actinomyces can behave as copathogen when anatomic barriers are compromised, its coinfection with Mycobacterium avium-intracellulare has not previously been reported. We present the first reported case of palatal actinomycosis co-infection with disseminated MAC, in an HIV-infected subject with Kaposi sarcoma and diabetes. We discuss the pathogenesis of the complex condition of this subject.
放线菌和鸟分枝杆菌-胞内分枝杆菌是兼性胞内生物,属于放线菌目细菌。尽管当解剖屏障受损时放线菌可作为共病原体,但此前尚未有其与鸟分枝杆菌-胞内分枝杆菌合并感染的报道。我们报告了首例在一名患有卡波西肉瘤和糖尿病的HIV感染患者中发生的腭部放线菌病合并播散性鸟分枝杆菌复合群感染的病例。我们讨论了该患者复杂病情的发病机制。