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初诊为艾滋病患者且正在接受抗结核治疗时发生的泌尿道感染。

urinary tract infection in a newly diagnosed AIDS patient on antitubercular treatment.

机构信息

Microbiology, All India Institute of Medical Sciences - Bhopal, Bhopal, Madhya Pradesh, India.

General Medicine, All India Institute of Medical Sciences - Bhopal, Bhopal, Madhya Pradesh, India.

出版信息

BMJ Case Rep. 2022 May 24;15(5):e247628. doi: 10.1136/bcr-2021-247628.

Abstract

is a well-known pathogen in salmonid fishes. It was believed to be non-pathogenic to humans because of inability to grow at 37°C. Here we present a case of a woman in her 20s who was diagnosed with abdominal tuberculosis 6 months previously but had not been compliant with the treatment. She presented with occasional febrile episodes, whitish vaginal discharge, burning micturition, anal ulcer, whitish discharge from mouth and recent onset breathlessness. Patient tested serologically positive for HIV-1, and was isolated from urine sample. Patient was treated with antituberculosis therapy, antiretroviral therapy and antimicrobials. She showed marked improvement over the next few weeks. This case highlights the importance of recognition of rare organisms, especially in immunocompromised patients. The identification and subsequent treatment of such pathogens have improved since the advent of automated identification systems.

摘要

是鲑鱼科鱼类中的一种知名病原体。由于其无法在 37°C 下生长,人们曾认为它对人类无致病性。在此,我们报告了一例 20 多岁女性的病例,该患者 6 个月前被诊断患有腹部结核病,但并未遵医嘱进行治疗。她偶尔会出现发热、白色阴道分泌物、尿痛、肛门溃疡、口腔白色分泌物和近期出现的呼吸困难。患者 HIV-1 血清学检测呈阳性,且从尿液样本中分离出 。患者接受了抗结核治疗、抗逆转录病毒治疗和抗菌药物治疗。在接下来的几周内,她的病情明显好转。本病例强调了识别罕见病原体的重要性,尤其是在免疫功能低下的患者中。自从自动化鉴定系统问世以来,此类病原体的鉴定和随后的治疗已经得到了改善。

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