Smith D, Gazzard B, Lindley R P, Darwish A, Reed C, Bryceson A D, Evans D A
Department of Medicine, St. Stephen's Hospital, London, UK.
AIDS. 1989 Jan;3(1):41-3.
A patient with HIV infection presented with multiple cutaneous Kaposi's sarcomata. Biopsy of one of these showed the presence of amastigotes within an otherwise typical Kaposi's sarcoma. Further investigations proved the patient to have visceral leishmaniasis (kala azar). Visceral leishmaniasis has been reported in HIV infection but it is rare and this presentation is unique. The patient made a good response to a prolonged course of treatment with sodium stibogluconate and allopurinol.
一名艾滋病病毒感染者出现多处皮肤卡波西肉瘤。对其中一处进行活检，结果显示在典型的卡波西肉瘤组织内存在无鞭毛体。进一步检查证实该患者患有内脏利什曼病（黑热病）。艾滋病病毒感染患者中曾有内脏利什曼病的报道，但较为罕见，而该病例的表现具有独特性。该患者对葡萄糖酸锑钠和别嘌呤醇的长期治疗反应良好。
