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肺炎:人类免疫缺陷病毒感染诊断中的一条线索

pneumonia a thread in the diagnosis of human immunodeficiency virus infection.

作者信息

Gupta Sonali, Goyal Pradeep, Mattana Joseph

机构信息

Department of Medicine, St. Vincent's Medical Center, Bridgeport, The Frank H. Netter MD School of Medicine at Quinnipiac University North Haven, CT USA.

Department of Radiology, St. Vincent's Medical Center, Bridgeport, The Frank H. Netter MD School of Meicine at Quinnipiac University North Haven, CT 06606, USA.

出版信息

IDCases. 2019 Feb 19;15:e00509. doi: 10.1016/j.idcr.2019.e00509. eCollection 2019.

Abstract

is primarily a zoonotic pathogen, which is often found in upper respiratory tract of various domestic and wild animals. Human infections are rarely reported in immunocompromised patients and are associated with a wide spectrum of presentation ranging from mild cough, tracheobronchitis to sepsis and death. Here, we describe a case of pneumonia that led to the diagnosis of human immunodeficiency virus infection. The diagnosis of infection can be challenging, as there are no distinctive imaging features. This infection mimics infection and unless a detailed evaluation of an unusual presentation is done it may be missed, resulting in increased morbidity and mortality. This case emphasizes the importance of a systematic detailed investigation of patients with unusual pneumonia presentations.

摘要

主要是一种人畜共患病原体,常见于各种家畜和野生动物的上呼吸道。免疫功能低下患者中很少报告人类感染,且感染会伴有从轻度咳嗽、气管支气管炎到败血症和死亡等广泛的症状表现。在此,我们描述一例导致人类免疫缺陷病毒感染诊断的肺炎病例。由于没有独特的影像学特征,感染的诊断可能具有挑战性。这种感染类似于感染,除非对不寻常的症状表现进行详细评估,否则可能会漏诊,从而导致发病率和死亡率增加。该病例强调了对不寻常肺炎症状患者进行系统详细调查的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f45d/6389593/ebca863f1b8c/gr1.jpg

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