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李斯特菌病:获得性免疫缺陷综合征患者中一种罕见的机会性感染。五例报告及文献复习。

Listeriosis: an uncommon opportunistic infection in patients with acquired immunodeficiency syndrome. A report of five cases and a review of the literature.

作者信息

Mascola L, Lieb L, Chiu J, Fannin S L, Linnan M J

机构信息

Los Angeles County Department of Health Services, California.

出版信息

Am J Med. 1988 Jan;84(1):162-4. doi: 10.1016/0002-9343(88)90027-7.

DOI:10.1016/0002-9343(88)90027-7
PMID:3276181
Abstract

Between January 1985 and March 1986, five cases of listeriosis were reported in Los Angeles County in patients with the acquired immunodeficiency syndrome (AIDS). All patients were homosexual men with no other risk factors for AIDS. Two patients had sepsis only, two patients had sepsis and meningitis, and one patient had sepsis and signs of meningitis. Sixty percent of the cases (three patients) had a prior or concurrent gastrointestinal illness. Eighty percent of the cases (four patients) also had no prior history of antibiotic administration. Both of these findings may have predisposed these AIDS patients to be at increased risk for listeriosis. Although listeriosis is an infrequent illness in AIDS patients, people with AIDS or human immunodeficiency virus infection should probably refrain from ingesting food items associated with listeriosis. These food items include improperly pasteurized dairy products, and raw fruits and vegetables not properly washed.

摘要

1985年1月至1986年3月期间,洛杉矶县报告了5例获得性免疫缺陷综合征(艾滋病)患者感染李斯特菌病的病例。所有患者均为同性恋男性,无其他艾滋病危险因素。两名患者仅患有败血症,两名患者患有败血症和脑膜炎,一名患者患有败血症并伴有脑膜炎症状。60%的病例(3名患者)有先前或同时存在的胃肠道疾病。80%的病例(4名患者)也没有抗生素使用史。这两个发现可能使这些艾滋病患者感染李斯特菌病的风险增加。尽管李斯特菌病在艾滋病患者中并不常见,但艾滋病患者或人类免疫缺陷病毒感染者可能应避免食用与李斯特菌病相关的食品。这些食品包括巴氏杀菌不当的乳制品,以及未正确清洗的生水果和蔬菜。

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