Department of Pulmonology, ZNA Middelheim , Antwerp, Belgium.
Department of Pulmonology, ZNA Stuyvenberg , Antwerp, Belgium.
Acta Clin Belg. 2020 Dec;75(6):411-415. doi: 10.1080/17843286.2019.1622880. Epub 2019 May 25.
pneumonia (PJP) can be a severe indicator disease of acquired immunodeficiency syndrome (AIDS). We present two cases of homosexual male patients who came to the emergency unit of a Belgian hospital because of shortness of breath. Both men had been sent back home, initially diagnosed with a benign viral infection. Because of worsening symptoms and gradually evolving hypoxemia, both patients came back and were admitted to the hospital with a diagnosis of (microbiology proven) pneumonia. HIV serology in both men was tested and was clearly positive, indicating a new diagnosis of HIV infection. In this article, we provide an overview of this possibly severe AIDS defining condition. First, we give an introduction of the history of HIV/AIDS and its occurrence in homosexual males in Europe. Secondly, we provide an overview of the diagnosis and treatment of pneumonia. Finally, since the first case reports of pneumonia at the beginning of the AIDS epidemic also included homosexual men, we emphasize the potential importance of a sexual anamnesis in young male patients with an initial complaint of dyspnea.
肺炎（PJP）可能是获得性免疫缺陷综合征（AIDS）的严重指示性疾病。我们介绍了两名因呼吸急促而前往比利时医院急诊部的同性恋男性患者的病例。最初这两名男性均被诊断为良性病毒感染而被遣返回家。由于症状恶化和逐渐出现低氧血症，这两名患者再次返回医院，被诊断为（经微生物学证实的）肺炎。对这两名男性的 HIV 血清学进行了检测，结果呈阳性，表明他们被新诊断为 HIV 感染。在本文中，我们概述了这种可能严重的 AIDS 定义疾病。首先，我们介绍了 HIV/AIDS 的历史及其在欧洲同性恋男性中的发生情况。其次，我们概述了肺炎的诊断和治疗。最后，由于 AIDS 流行初期首例肺炎病例也包括同性恋男性，因此我们强调了对有初始呼吸困难主诉的年轻男性患者进行性病史询问的潜在重要性。
