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患有猴痘病毒复杂独特临床表现的艾滋病患者

HIV Patient With a Complicated and Unique Presentation of the Monkeypox Virus.

作者信息

Patel Prachi, Purohit Bhavi

机构信息

Internal Medicine, Philadelphia College of Osteopathic Medicine, Atlanta, USA.

Internal Medicine, Wellstar North Fulton Hospital, Roswell, USA.

出版信息

Cureus. 2023 Sep 3;15(9):e44607. doi: 10.7759/cureus.44607. eCollection 2023 Sep.

DOI:10.7759/cureus.44607
PMID:37711267
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10498935/
Abstract

Monkeypox virus presents a concerning challenge, as it is known for its ability to spread through a diverse range of transmission routes, including established pathways like direct contact and shared living spaces, with the spectrum of potential methods appearing to be limitless. This immunocompromised 43-year-old HIV patient presented to the emergency department (ED) in the United States with shortness of breath, cough, and painful lesions for several months. Numerous consults and a full panel of testing revealed an odd case of the monkeypox virus that strayed away from the predefined classifications for the disease. The case sheds light on the need for further research in immunocompromised patient populations as their presentations may be different from what research currently suggests.

摘要

猴痘病毒带来了一个令人担忧的挑战,因为它以能够通过多种传播途径传播而闻名,包括直接接触和共享生活空间等既定途径,潜在传播方式的范围似乎是无限的。这位43岁的免疫功能低下的艾滋病毒患者因呼吸急促、咳嗽和疼痛性病变数月,前往美国的急诊科就诊。经过多次会诊和全面的检测,发现了一例奇怪的猴痘病毒病例,该病例偏离了该疾病的预定义分类。该病例揭示了对免疫功能低下患者群体进行进一步研究的必要性,因为他们的症状表现可能与目前的研究结果不同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc24/10498935/6bffc209d795/cureus-0015-00000044607-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc24/10498935/40d98161e8d2/cureus-0015-00000044607-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc24/10498935/5056a17364db/cureus-0015-00000044607-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc24/10498935/745866b62f46/cureus-0015-00000044607-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc24/10498935/6bffc209d795/cureus-0015-00000044607-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc24/10498935/40d98161e8d2/cureus-0015-00000044607-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc24/10498935/5056a17364db/cureus-0015-00000044607-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc24/10498935/745866b62f46/cureus-0015-00000044607-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc24/10498935/6bffc209d795/cureus-0015-00000044607-i04.jpg

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本文引用的文献

1
Human Monkeypox in People With HIV: Transmission, Clinical Features, and Outcome.感染艾滋病毒者中的人类猴痘:传播、临床特征及结局
Open Forum Infect Dis. 2022 Oct 19;9(11):ofac557. doi: 10.1093/ofid/ofac557. eCollection 2022 Nov.
2
Monkeypox and HIV in the Canary Islands: A Different Pattern in a Mobile Population.加那利群岛的猴痘与艾滋病:流动人群中的一种不同模式。
Trop Med Infect Dis. 2022 Oct 19;7(10):318. doi: 10.3390/tropicalmed7100318.
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Monkeypox: A Comprehensive Review of Transmission, Pathogenesis, and Manifestation.
猴痘:传播、发病机制及临床表现的综合综述
Cureus. 2022 Jul 3;14(7):e26531. doi: 10.7759/cureus.26531. eCollection 2022 Jul.
4
Human monkeypox.人类猴痘。
Clin Infect Dis. 2014 Jan;58(2):260-7. doi: 10.1093/cid/cit703. Epub 2013 Oct 24.