Chaar-Hernandez Aldair, Montes Jorge, Rojas Maria C, Padilla-Mantilla Diego A, Lahmar Abdelilah, Toledo-Martinez Juan F, Somoza-Cano Francisco J
Internal Medicine, Universidad de La Sabana, Bogota, COL.
Internal Medicine, Universidad de Los Andes, Bogota, COL.
Cureus. 2022 May 26;14(5):e25354. doi: 10.7759/cureus.25354. eCollection 2022 May.
Since the development of antiretroviral therapy (ART) and antibiotic prophylaxis, the incidence of opportunistic infections in human immunodeficiency virus-acquired immunodeficiency syndrome (HIV-AIDS) has been drastically reduced. However, third-world countries remain a fertile ground for medication nonadherence and inappropriate patient follow-up. Here, we present the case of a 42-year-old male with a history of HIV who presented with worsening shortness of breath and atypical chest pain. A chest X-ray and chest computed tomography scan revealed a left parahilar cavitation measuring 86 mm in diameter. A percutaneous lung biopsy revealed . Appropriate antibiotics were started, and the patient's clinical status significantly improved. This case illustrates the devastating consequences of uncontrolled HIV-AIDS. ART and prophylactic antibiotics remain the cornerstone of treatment to ameliorate progressive lung damage in patients.
自从抗逆转录病毒疗法（ART）和抗生素预防措施发展以来，人类免疫缺陷病毒获得性免疫缺陷综合征（HIV-AIDS）中机会性感染的发生率已大幅降低。然而，第三世界国家仍然是药物治疗依从性差和患者随访不当的温床。在此，我们报告一例42岁有HIV病史的男性病例，该患者出现呼吸急促加重和非典型胸痛。胸部X线和胸部计算机断层扫描显示左肺门旁有一个直径86毫米的空洞。经皮肺活检显示……开始使用适当的抗生素后，患者的临床状况显著改善。该病例说明了未控制的HIV-AIDS的毁灭性后果。ART和预防性抗生素仍然是改善患者进行性肺损伤的治疗基石。
