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艾滋病患者左大腿因堪萨斯分枝杆菌引起的脓肿。

Abscess resulting from Mycobacterium kansasii in the left thigh of AIDS patient.

作者信息

Lima Catarina Tenório de, Magalhães Vera

机构信息

Federal University of Pernambuco, Recife, PE, Brazil.

出版信息

An Bras Dermatol. 2014 May-Jun;89(3):478-80. doi: 10.1590/abd1806-4841.20142741.

DOI:10.1590/abd1806-4841.20142741
PMID:24937823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4056707/
Abstract

A case of abscess resulting from Mycobacterium kansasii, in the left thigh of a 53-year-old woman infected with the Human Immunodeficiency virus, is reported. Curiously, there was no pulmonary or systemic involvement as is usual with these Mycobacterium infections. The patient had CD4 T lymphocyte count of 257 cells/µL and a viral load of 60,154 copies. Despite presenting a relatively preserved immunity, the patient also presented Criptococcic meningoencephalitis and Esophageal candidiasis. The patient responded satisfactorily to treatment for infections and after 51 days was discharged.

摘要

报告了一例53岁感染人类免疫缺陷病毒的女性左大腿堪萨斯分枝杆菌脓肿病例。奇怪的是,与这些分枝杆菌感染通常情况不同,该病例没有肺部或全身受累。患者的CD4 T淋巴细胞计数为257个细胞/微升,病毒载量为60154拷贝。尽管患者的免疫力相对保留,但还患有隐球菌性脑膜脑炎和食管念珠菌病。患者对感染治疗反应良好,51天后出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4783/4056707/1b07d2464bad/abd-89-03-0478-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4783/4056707/873d929b93ef/abd-89-03-0478-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4783/4056707/c280648bf6dd/abd-89-03-0478-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4783/4056707/f899ed8fac6f/abd-89-03-0478-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4783/4056707/1b07d2464bad/abd-89-03-0478-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4783/4056707/873d929b93ef/abd-89-03-0478-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4783/4056707/c280648bf6dd/abd-89-03-0478-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4783/4056707/f899ed8fac6f/abd-89-03-0478-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4783/4056707/1b07d2464bad/abd-89-03-0478-g04.jpg

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2
Cutaneous Mycobacterium kansasii infection in a patient with AIDS post initiation of antiretroviral therapy.
J Infect Dev Ctries. 2011 Jul 27;5(7):553-5. doi: 10.3855/jidc.1733.
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Mycobacterium kansasii cutaneous abscesses occurring as immune reconstitution inflammatory syndrome.堪萨斯分枝杆菌皮肤脓肿作为免疫重建炎症综合征出现。
Int J Tuberc Lung Dis. 2011 Jul;15(7):993. doi: 10.5588/ijtld.11.0693.
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Disseminated Mycobacterium kansasii infection associated with skin lesions: a case report and comprehensive review of the literature.播散性堪萨斯分枝杆菌感染伴皮肤损害:病例报告及文献复习。
J Korean Med Sci. 2010 Feb;25(2):304-8. doi: 10.3346/jkms.2010.25.2.304. Epub 2010 Jan 19.
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Mycobacterium kansasii in HIV patients: clarithromycin and antiretroviral effects.堪萨斯分枝杆菌在艾滋病患者中的情况:克拉霉素及抗逆转录病毒作用
Int J Tuberc Lung Dis. 2007 Mar;11(3):331-7.
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