Shah Nirav, Owen Leah, Bhagani Sanjay
Department of HIV/Thoracic Medicine, Royal Free Hospital, London, UK.
BMJ Case Rep. 2013 Jul 5;2013:bcr2013009544. doi: 10.1136/bcr-2013-009544.
The authors report the case of a new diagnosis of advanced HIV-1 infection with a blood CD4 cell count of 0.003×10(9)/L (2%), presenting with weight loss, night sweats, diarrhoea and anorexia. Symptoms were due to disseminated histoplasmosis (confirmed pulmonary and colonic disease), Pneumocystis pneumonia and oral candidiasis highlighting the limitations of 'Occam's razor' with advanced HIV infection.
作者报告了一例新诊断的晚期HIV-1感染病例,血液CD4细胞计数为0.003×10⁹/L(2%),伴有体重减轻、盗汗、腹泻和厌食。症状是由播散性组织胞浆菌病(确诊的肺部和结肠疾病)、肺孢子菌肺炎和口腔念珠菌病引起的,这突出了晚期HIV感染时“奥卡姆剃刀原理”的局限性。