Sinzobahamvya N, Kalangu K, Hämel-Kalinowski W
Department of Thoracic and Cardiovacular Surgery, Parirenyatwa Hospital, Harare, Zimbabwe.
Acta Chir Belg. 1989 Jul-Aug;89(4):185-8.
The authors report four arterial aneurysms seen in three patients infected by HIV. The aneurysms affected: 1) the left common carotid artery in a young man HIV carrier, 2) the right common carotid artery and the abdominal aorta in a woman with AIDS, 3) the right common carotid artery in a patient with AIDS-related complex. The aetiology was found to be infectious, respectively: 1) staphylococcus epidermidis (certain), 2) tuberculosis or another undetected infection (possible), 3) staphylococcus epidermidis or syphilis (highly probable). A viral arteritis mechanism is also postulated in the second case. If this association of aneurysms with HIV infection is not fortuitous, an increase of aneurysm incidence in HIV infected population is to be expected.
作者报告了3例感染HIV的患者出现的4个动脉瘤。这些动脉瘤累及：1）1名年轻男性HIV携带者的左颈总动脉；2）1名患有艾滋病的女性的右颈总动脉和腹主动脉；3）1名患有艾滋病相关综合征患者的右颈总动脉。病因分别为感染性：1）表皮葡萄球菌（确定）；2）结核或其他未检测到的感染（可能）；3）表皮葡萄球菌或梅毒（极有可能）。第二例还推测有病毒动脉炎机制。如果这种动脉瘤与HIV感染的关联并非偶然，那么预计HIV感染人群中动脉瘤的发病率会增加。
