Knani L, Bouslama K, Varette C, Gonzalez Canali G, Cabane J, Lebas J, Imbert J C
Service de Médecine Interne, Hôpital Saint-Antoine, Paris.
Ann Med Interne (Paris). 1990;141(5):469-71.
Pulmonary toxoplasmosis in AIDS is rare. Its frequency is estimated to be between 0.2 and 3.7% but is probably underestimated; however, it is lower than that of neurotoxoplasmosis and is rarely identified prior to autopsy. We describe herein 3 cases diagnosed in living patients. The clinical presentation is usually severe interstitial pneumonitis, occurring in profoundly immunodeficient patients. Toxoplasma gondii, the infectious agent, must always be sought in the bronchoalveolar lavage of such patients and is sometimes associated with other opportunistic infectious agents, such as Pneumocystis carinii.
艾滋病患者的肺弓形虫病较为罕见。其发病率估计在0.2%至3.7%之间，但可能被低估；然而，它低于神经弓形虫病的发病率，且在尸检前很少被发现。我们在此描述3例在在世患者中诊断出的病例。临床表现通常为严重的间质性肺炎，发生于免疫功能极度低下的患者。必须始终在这类患者的支气管肺泡灌洗物中寻找感染病原体刚地弓形虫，它有时与其他机会性感染病原体相关联，如卡氏肺孢子虫。
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