Shah Kamini, Siglin Jonathan, Patel Devang M
Southern California Permanente Medical Group, Irvine, CA, USA.
University of Maryland School of Medicine, Baltimore, MD, USA.
IDCases. 2020 Jun 20;21:e00883. doi: 10.1016/j.idcr.2020.e00883. eCollection 2020.
A 40-year-old woman with severe anorexia nervosa was found to have a bilateral pulmonary infection with rare atypical mycobacterium Of note, she had no preexisting structural lung disease or history of tuberculosis, smoking, or HIV. Current data suggest that both impaired cell-mediated immunity and altered respiratory mechanics are risk factors for mycobacterial infection in patients with anorexia nervosa.
一名40岁的重度神经性厌食症女性被发现患有双侧肺部感染,感染的是罕见的非典型分枝杆菌。值得注意的是,她既往没有结构性肺病,也没有肺结核、吸烟或感染艾滋病毒的病史。目前的数据表明,细胞介导免疫受损和呼吸力学改变都是神经性厌食症患者发生分枝杆菌感染的危险因素。