奥卡姆剃刀并不那么锋利。
Ockham's razor is not so sharp.
作者信息
Lewis Mark A, Agusala Kartik, Raizen Yuval
机构信息
Department of Internal Medicine, Baylor College of Medicine, Houston, Texas, USA.
出版信息
Infect Dis Rep. 2010 Aug 23;2(2):e10. doi: 10.4081/idr.2010.e10. eCollection 2010 Aug 4.
Abstract
A 39-year-old male with newly diagnosed HIV had cavitary pneumonia initially attributed to Pneumocystis jirovecii but actually caused by Rhodococcus equi. After neurological deterioration, he was found to have intracerebral lesions caused by Toxoplasma gondii. This case underscores the inability to rely on the search for a unifying diagnosis (Ockham's Razor) in HIV-infected patients.
摘要
一名新诊断出感染艾滋病毒的39岁男性起初患有空洞性肺炎，最初认为是由耶氏肺孢子菌引起，但实际上是由马红球菌引起。在出现神经功能恶化后，发现他患有由刚地弓形虫引起的脑内病变。该病例强调了在艾滋病毒感染患者中不能依赖寻找统一诊断（奥卡姆剃刀原则）。
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