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第481例:发热、皮疹与咳嗽

[The 481st case: fever, rash, and cough].

作者信息

Guo F P, Zhang C L, Lu M, Qian Y Q, Liu Z Y, Li T S

机构信息

Department of Infectious Diseases, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.

Department of Hematology, Peking Union Medical College Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing 100730, China.

出版信息

Zhonghua Nei Ke Za Zhi. 2020 Dec 1;59(12):1009-1012. doi: 10.3760/cma.j.cn112138-20200103-00001.

DOI:10.3760/cma.j.cn112138-20200103-00001
PMID:33256347
Abstract

infection is rarely reported in patients with chronic active Epstein-Barr virus (EBV) infection. We reported an old man with chronic fever, pleomorphic rash, cough, EBV viraemia, and secondary hemophagocytic syndrome. Repeated histological biopsy and culture of skin lesions revealed . This patient was diagnosed as chronic active EBV infection, and infection. After treated with glucocorticoid steroids and anti-fungal therapy, the patient finally recovered. EBV infection is usually seen in immune compromised patients, who are susceptible to opportunistic pathogens rarely as in this case.

摘要

慢性活动性EB病毒(EBV)感染患者很少报告有感染情况。我们报告了一位患有慢性发热、多形性皮疹、咳嗽、EBV病毒血症和继发性噬血细胞综合征的老年男性。对皮肤病变进行反复组织学活检和培养发现……该患者被诊断为慢性活动性EBV感染以及……感染。在接受糖皮质激素和抗真菌治疗后,患者最终康复。EBV感染通常见于免疫功能低下的患者,他们很少像该病例这样易患机会性病原体感染。

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