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以全垂体功能减退为首发表现的亚急性垂体炎作为HIV与梅毒合并感染的病例

Subacute Hypophysitis with Panhypopituitarism as First Presentation of HIV and Syphilis Coinfection.

作者信息

Alves Rute, França Margarida

机构信息

Clinical Immunology Unit, Centro Hospitalar do Porto, Porto, Portugal.

出版信息

Case Rep Infect Dis. 2017;2017:1489210. doi: 10.1155/2017/1489210. Epub 2017 Apr 16.

DOI:10.1155/2017/1489210
PMID:28567314
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5439250/
Abstract

Infection by still represents a clinical challenge due to its various forms of presentation. HIV coinfection added diversity and changed the natural history of syphilis as a systemic infection. We present a rare case of subacute hypophysitis and panhypopituitarism due to an early active neurosyphilis in a previously unknown HIV coinfected patient.

摘要

由于其多种表现形式,[病原体名称未给出]感染仍然是一个临床挑战。HIV合并感染增加了疾病的多样性,并改变了梅毒作为一种全身性感染的自然病程。我们报告了一例罕见病例,一名既往未知HIV合并感染患者因早期活动性神经梅毒导致亚急性垂体炎和全垂体功能减退。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d8f/5439250/e1609ca27ad6/CRIID2017-1489210.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d8f/5439250/de0ff0d7daa2/CRIID2017-1489210.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d8f/5439250/f6c1dc5040f4/CRIID2017-1489210.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d8f/5439250/cbd381f84014/CRIID2017-1489210.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d8f/5439250/e1609ca27ad6/CRIID2017-1489210.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d8f/5439250/de0ff0d7daa2/CRIID2017-1489210.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d8f/5439250/f6c1dc5040f4/CRIID2017-1489210.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d8f/5439250/cbd381f84014/CRIID2017-1489210.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6d8f/5439250/e1609ca27ad6/CRIID2017-1489210.004.jpg

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本文引用的文献

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High frequency of neurosyphilis in HIV-positive patients diagnosed with early syphilis.在被诊断为早期梅毒的HIV阳性患者中,神经梅毒的高发病率。
HIV Med. 2016 May;17(5):323-6. doi: 10.1111/hiv.12307. Epub 2015 Sep 10.
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Alteration in the natural history of neurosyphilis by concurrent infection with the human immunodeficiency virus.人类免疫缺陷病毒合并感染对神经梅毒自然病程的影响。
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