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一名患有CD40L缺乏症的婴儿发生播散性感染。

Disseminated infection in an infant with CD40L deficiency.

作者信息

Dupuy Fleur, Valot Stéphane, Dalle Frédéric, Sterin Arthur, L'Ollivier Coralie

机构信息

IHU Méditerranée Infection, Marseille, France.

Laboratoire de Parasitologie-Mycologie, CHU de Dijon, France.

出版信息

IDCases. 2021 Apr 7;24:e01115. doi: 10.1016/j.idcr.2021.e01115. eCollection 2021.

Abstract

The protozoan affects the digestive tract of humans and animals. Cryptosporidiosis leads to diarrhoea mimicking a cholera-like course with dehydration and may even result in death in immunodeficient patients, as patients with hyper-IgM syndrome. We describe a rare case of disseminated infection in a seven- year-old boy with CD40 L deficiency. During the pre-graft phase, the patient presented an intestinal cryptosporidiosis which became complicated few days later during the aplasia period with a cholangitis and pulmonary cryptosporidiosis. was identified. After treatment with nitazoxanide and azithromycine the patient was doing well.

摘要

这种原生动物会影响人类和动物的消化道。隐孢子虫病会导致类似霍乱病程的腹泻并伴有脱水,在免疫缺陷患者中,如高IgM综合征患者,甚至可能导致死亡。我们描述了一例患有CD40L缺陷的7岁男孩发生播散性感染的罕见病例。在移植前阶段,该患者出现肠道隐孢子虫病,几天后在再生障碍期并发胆管炎和肺部隐孢子虫病。病原体被识别出来。在用硝唑尼特和阿奇霉素治疗后,患者情况良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3f5e/8044382/4e8b15aa0b44/ga1.jpg

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