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丙型肝炎感染者的胃肠道组织胞浆菌病。

Gastrointestinal histoplasmosis in a hepatitis C-infected individual.

机构信息

Department of Pathology, Ben Taub General Hospital, Houston, TX, USA.

出版信息

Mycopathologia. 2013 Aug;176(1-2):161-4. doi: 10.1007/s11046-013-9669-5. Epub 2013 Jun 13.

Abstract

Gastrointestinal histoplasmosis is a rare manifestation of this fungal infection, typically identified in immunocompromised patients, such as those with HIV/AIDS. Here, we report a case of disseminated histoplasmosis with gastrointestinal involvement in a Hepatitis C-infected patient. The fungal agent was confirmed to be Histoplasma capsulatum by a DNA probe assay performed on a bone marrow sample. We propose that this fungal disease should be kept on the differential of patients infected with the Hepatitis C virus, as it has been reported to have numerous damaging effects on the adaptive immune system.

摘要

胃肠道组织胞浆菌病是这种真菌感染的一种罕见表现,通常发生于免疫功能低下的患者,如 HIV/AIDS 患者。在此,我们报告一例丙型肝炎感染患者合并胃肠道累及的播散性组织胞浆菌病。通过对骨髓样本进行 DNA 探针检测,证实真菌病原体为荚膜组织胞浆菌。我们建议,对于感染丙型肝炎病毒的患者,应将这种真菌病纳入鉴别诊断,因为据报道它对适应性免疫系统有许多破坏性影响。

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