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患者无合并人类免疫缺陷感染时的结肠隐球菌感染:病例报告及文献复习。

Cryptococcal infection of the colon in a patient without concurrent human immunodeficiency infection: a case report and literature review.

机构信息

San Fernando Medical School, Universidad Nacional Mayor de San Marcos, Lima, Peru.

Department of Medicine, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.

出版信息

Eur J Clin Microbiol Infect Dis. 2021 Dec;40(12):2623-2626. doi: 10.1007/s10096-021-04268-5. Epub 2021 May 13.

Abstract

Cryptococcosis is a fungal infection that is rarely reported in patients without human immunodeficiency virus (HIV) infection, especially when the central nervous system (CNS) or pulmonary system is not involved. We report a case of isolated colonic cryptococcosis without disseminated disease in a 64-year-old immunocompetent woman without HIV infection who presented with chronic diarrhea and no episodes of fever or weight loss. The diagnosis was based on histopathology examination. Furthermore, we performed a literature review showing that few reports have been published so far and in the case of colonic cryptococcal infection, the prognosis is favorable among HIV-uninfected patients.

摘要

隐球菌病是一种真菌感染,在没有人类免疫缺陷病毒 (HIV) 感染的患者中很少见,尤其是当中枢神经系统 (CNS) 或肺部系统未受影响时。我们报告了一例免疫功能正常的 64 岁女性孤立性结肠隐球菌病的病例,该患者无 HIV 感染,表现为慢性腹泻,无发热或体重减轻病史。诊断基于组织病理学检查。此外,我们进行了文献回顾,结果表明到目前为止发表的报告很少,而且在结肠隐球菌感染的情况下,HIV 阴性患者的预后良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ed86/8590644/24b45ff8b04b/10096_2021_4268_Fig1_HTML.jpg

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