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一名患有HIV相关卡波西肉瘤患者的乳糜胸。

Chylothorax in a patient with HIV-related Kaposi's sarcoma.

作者信息

Cherian Sonia, Umerah Onyeka Maureen, Tufail Muhammad, Panchal Rakesh K

机构信息

Respiratory Medicine, Glenfield Hospital Department of Respiratory Disorders Lung Disorders and Thoracic Medicine, Leicester, UK.

Respiratory Medicine, Institute for Lung Health, Glenfield Hospital, Leicester, Leicester, UK.

出版信息

BMJ Case Rep. 2019 Jan 22;12(1):e227641. doi: 10.1136/bcr-2018-227641.

DOI:10.1136/bcr-2018-227641
PMID:30674495
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6347950/
Abstract

We present a case of a 33-year-old man with a background of HIV and Kaposi's sarcoma (KS), who presented with a right sided chylothorax. He was managed with percutaneous chest drainage and talc pleurodesis, in addition to his chemotherapy and antiretroviral therapy for KS and HIV, respectively. Good clinical control of the chylothorax remained 4 months post drainage. This case report summarises the approach to investigating and managing pleural effusion, and in particular chylothorax, in HIV patients.

摘要

我们报告一例33岁男性患者，有HIV感染和卡波西肉瘤（KS）病史，出现右侧乳糜胸。除了分别针对KS和HIV进行化疗及抗逆转录病毒治疗外，对其采用了经皮胸腔引流和滑石粉胸膜固定术进行治疗。引流后4个月，乳糜胸保持良好的临床控制。本病例报告总结了HIV患者胸腔积液尤其是乳糜胸的调查和处理方法。

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本文引用的文献

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Pulmonary Kaposi's Sarcoma and Its Complications in the HAART Era: A Contemporary Case-Based Review.高效抗逆转录病毒治疗时代的肺卡波西肉瘤及其并发症：基于当代病例的综述
Lung. 2016 Feb;194(1):163-9. doi: 10.1007/s00408-015-9830-7. Epub 2016 Jan 29.
2
A case of relapsed visceral Kaposi's sarcoma with bilateral chylothoraces successfully treated with paclitaxel.一例复发性内脏卡波西肉瘤伴双侧乳糜胸经紫杉醇成功治疗的病例。
Int J STD AIDS. 2015 Jul;26(8):605-9. doi: 10.1177/0956462414546915. Epub 2014 Aug 13.
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Kaposi sarcoma in unusual locations.不常见部位的卡波西肉瘤。
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Pleural effusion in a patient with AIDS.艾滋病患者的胸腔积液
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Kaposi sarcoma with upper airway obstruction and bilateral chylothoraces.伴有上呼吸道梗阻和双侧乳糜胸的卡波西肉瘤。
Pediatr Infect Dis J. 2003 Oct;22(10):926-8. doi: 10.1097/01.inf.0000091390.13012.6f.
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Thoracoscopic management of pleural effusions in Kaposi's sarcoma: a rapid and effective alternative for diagnosis and treatment.胸腔镜治疗卡波西肉瘤胸腔积液：一种快速有效的诊断和治疗替代方法。
South Med J. 2002 Aug;95(8):919-21.
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AIDS-related Kaposi's sarcoma with chylothorax and pericardial involvement satisfactorily treated with liposomal doxorubicin.
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