Yunina Daria S, Elkayam Natalie, Patel Shanti, Okoli Fidelis, Chapnick Edward, Hecht Melvyn
Internal Medicine, Department of Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
Infectious Disease, Department of Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
IDCases. 2018 Jul 12;13:e00426. doi: 10.1016/j.idcr.2018.e00426. eCollection 2018.
The incidence of new human immunodeficiency virus (HIV) infections is declining and is half of what it was in the mid 1990s. We present a case of newly diagnosed HIV with acquired immune deficiency syndrome (AIDS), Neurosyphilis, Kaposi Sarcoma, and multiple opportunistic infections. Although this type of patient was not uncommon in the pre-antiretroviral era, we do not often see such a constellation of conditions in a single individual. The significance of this case lies not in the diagnosis, but rather in the number of the diagnoses and the thought process used to attain them.
新的人类免疫缺陷病毒（HIV）感染发病率正在下降，目前仅为20世纪90年代中期的一半。我们报告一例新诊断的HIV感染合并获得性免疫缺陷综合征（AIDS）、神经梅毒、卡波西肉瘤和多种机会性感染的病例。虽然这类患者在抗逆转录病毒治疗时代之前并不罕见，但我们很少在单个个体中看到如此多病症的组合。该病例的意义不在于诊断本身，而在于诊断的数量以及得出这些诊断的思维过程。
