Department of Clinical medicine, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
Department of Clinical medicine, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan.
BMJ Case Rep. 2022 Nov 24;15(11):e250544. doi: 10.1136/bcr-2022-250544.
A man in his 50s presented to his doctor with a fever, sore throat, cough, dysgeusia and dyspnoea of several days' duration. Tests for HIV antigen, HIV antibody and HIV PCR were positive. He was referred to our hospital for initiation of antiretroviral therapy and bronchoscopy to clarify the cause of an abnormal lung shadow on chest CT. He was diagnosed with organising pneumonia, with concurrent HIV infection. His pulmonary lesions were remitted spontaneously, and he was administered a fixed-dose combination of tenofovir (50 mg), emtricitabine (200 mg) and bictegravir (25 mg) for HIV. This is a rare report of organising pneumonia with HIV infection. Physicians need to consider organising pneumonia when lung opacity is observed in a patient with HIV infection.
一位 50 多岁的男性因发热、咽痛、咳嗽、味觉和嗅觉异常以及呼吸困难数日就诊于他的医生。HIV 抗原、HIV 抗体和 HIV PCR 检测均为阳性。他被转介至我院，以启动抗逆转录病毒治疗，并进行支气管镜检查以明确胸部 CT 上异常肺部阴影的原因。他被诊断为机化性肺炎，同时合并 HIV 感染。他的肺部病变自发缓解，给予他替诺福韦（50mg）、恩曲他滨（200mg）和比克替拉韦（25mg）固定剂量复方制剂治疗 HIV。这是一篇关于 HIV 感染合并机化性肺炎的罕见报告。当 HIV 感染患者出现肺部不透明时，医生需要考虑机化性肺炎。
