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[一名艾滋病患者的梅毒性葡萄膜炎。病例报告]

[Luetic uveitis in a patient with AIDS. Case report].

作者信息

Hungerbühler U, Kulstrunk M, Osusky R

机构信息

Medizinische Universitäts-Poliklinik, Departement für Innere Medizin, Universitätsspital Basel.

出版信息

Schweiz Med Wochenschr. 1988 Nov 26;118(47):1762-6.

PMID:3206224
Abstract

We report on a 33-year-old male Turkish patient with primarily nonsuspect sexual behavior who presented with panuveitis unresponsive to therapy. HIV infection and secondary syphilis was diagnosed. The uveitis was the only manifestation of syphilis. Because of isosporiasis, an HIV infection of CDC class IV C1 was diagnosed. This is the second published case of acquired syphilitic uveitis in a patient with HIV infection. The diagnosis was delayed by a prozone phenomenon. Treatment with high doses of penicillin i.v. for 14 days led to complete recovery. Because the HIV infection may obscure the diagnosis of syphilis, this constellation will assume increasing importance with the growing number of HIV-infected patients.

摘要

我们报告了一名33岁的土耳其男性患者,其性行为基本无异常,却出现了对治疗无反应的全葡萄膜炎。诊断为HIV感染和二期梅毒。葡萄膜炎是梅毒的唯一表现。由于等孢球虫病,该患者被诊断为CDC IV C1类HIV感染。这是第二例关于HIV感染患者获得性梅毒性葡萄膜炎发表病例。诊断因前带现象而延迟。静脉注射大剂量青霉素治疗14天导致完全康复。由于HIV感染可能掩盖梅毒的诊断,随着HIV感染患者数量的增加,这种情况将变得越来越重要。

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