一名 34 岁的 HIV/AIDS 患者，伴有空洞性肺部病变。
A 34-Year-Old Man With HIV/AIDS and a Cavitary Pulmonary Lesion.
机构信息
National Institute of Allergy and Infectious Diseases, Bethesda, MD.
National Institute of Allergy and Infectious Diseases, Bethesda, MD.
出版信息
Chest. 2021 Jul;160(1):e35-e38. doi: 10.1016/j.chest.2021.01.086.
A 34-year-old man presented to a community hospital with fever and fatigue for 3 days and was found to be febrile and tachycardic with a cavitary pulmonary lesion and paratracheal adenopathy on CT imaging. One month before, he had presented to his primary care provider with a palmar rash; he had been diagnosed and treated for syphilis and was also diagnosed with HIV. He had a CD4 count of 106 cells/μL and an HIV viral load of 1,290,000 copies/mL. Pneumocystis prophylaxis with trimethoprim-sulfamethoxazole and antiretroviral treatment with only tenofovir and emtricitabine therapy were started 2 weeks before presentation.
一位 34 岁男性因发热和乏力 3 天就诊于社区医院，CT 影像学检查发现其发热、心动过速，存在肺空洞病变和气管旁淋巴结肿大。1 个月前，他曾因手掌皮疹就诊于初级保健医生，被诊断和治疗为梅毒，同时也被诊断为 HIV 感染。他的 CD4 计数为 106 个/μL，HIV 病毒载量为 1290000 拷贝/mL。在就诊前 2 周，他开始接受复方磺胺甲噁唑预防卡氏肺孢子虫肺炎和仅用替诺福韦和恩曲他滨治疗的抗逆转录病毒治疗。
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