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回肠穿孔与组织胞浆菌病:病例报告

Jejunal Perforation Due to Histoplasmosis Regarding a Case.

机构信息

Department of Surgery, Central Military Hospital, Bogotá, Colombia.

Third-year General Surgery Resident, Nueva Granada Military University, Bogotá, Colombia.

出版信息

Surg Infect (Larchmt). 2024 Nov;25(9):713-716. doi: 10.1089/sur.2024.164. Epub 2024 Aug 12.

Abstract

Histoplasmosis is an increasing infection that mainly affects immunocompromised individuals such as patients with HIV/AIDS, with the disseminated form, especially gastrointestinal, being common in this population. The clinical presentation ranges from asymptomatic to symptoms that mimic other abdominal diseases. Jejunal perforation due to histoplasmosis, although rare, has been reported in a few cases, typically in men living with HIV in their fourth decade of life. We present the case of a 34-year-old male, with a history of HIV and colonic histoplasmosis who presented with acute abdominal pain requiring exploratory laparotomy and intestinal resection due to jejunal perforation, with histological confirmation of histoplasmosis in the resected intestinal segment.

摘要

组织胞浆菌病是一种日益增多的感染,主要影响免疫功能低下的个体,如 HIV/AIDS 患者,其播散形式,特别是胃肠道,在该人群中很常见。临床表现从无症状到模仿其他腹部疾病的症状不等。由于组织胞浆菌病导致的空肠穿孔虽然罕见,但已有少数病例报告,通常发生在 HIV 感染者生命的第四个十年。我们报告了一例 34 岁男性,有 HIV 和结肠组织胞浆菌病病史,因空肠穿孔导致急性腹痛,需要剖腹探查和肠切除术,切除的肠段组织学证实为组织胞浆菌病。

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