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一例持续性细小病毒感染导致艾滋病患者贫血,需静脉注射免疫球蛋白维持治疗。

A Persistent Parvovirus Infection Causing Anemia in an HIV Patient Requiring Intravenous Immunoglobulin Maintenance Therapy.

作者信息

Gor Dhairya, Singh Vinit, Gupta Varsha, Levitt Michael

机构信息

Internal Medicine, Jersey Shore University Medical Center, Neptune, USA.

Internal Medicine, Monmouth Medical Center, Long Branch, USA.

出版信息

Cureus. 2022 Apr 30;14(4):e24627. doi: 10.7759/cureus.24627. eCollection 2022 Apr.

Abstract

Anemia is a common finding in a human immunodeficiency virus (HIV)-positive patient with a wide range of possible causes and is a significant risk factor for mortality in acquired immunodeficiency syndrome (AIDS). Opportunistic parvovirus infection-causing pure red cell aplasia is one of its uncommon causes. It has been suggested that immunocompromised patients with abnormal antibody production are more susceptible to acquiring a chronic parvovirus infection requiring long-term intravenous immunoglobulin (IVIg) treatment; however, there are no specific guidelines for it. Here, we present a case of an HIV patient with persistent parvovirus infection resulting in chronic anemia requiring long-term maintenance immunoglobulin therapy with an excellent therapeutic response.

摘要

贫血是人类免疫缺陷病毒(HIV)阳性患者的常见表现,其病因众多,也是获得性免疫缺陷综合征(AIDS)患者死亡的重要危险因素。由机会性细小病毒感染引起的纯红细胞再生障碍是其少见病因之一。有研究表明,抗体产生异常的免疫功能低下患者更容易感染慢性细小病毒,需要长期静脉注射免疫球蛋白(IVIg)治疗;然而,目前尚无针对此的具体指南。在此,我们报告一例HIV患者,其持续性细小病毒感染导致慢性贫血,需要长期维持免疫球蛋白治疗,且治疗反应良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d5d2/9151181/fe65840fa189/cureus-0014-00000024627-i01.jpg

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