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一例伴有暴发性卡波西肉瘤免疫重建炎症综合征及耐多药结核病的艾滋病病例

A Case of HIV with Unmasked Kaposi's Sarcoma IRIS and Drug-Resistant Tuberculosis.

作者信息

Kaya Abdurrahman, Özdemir Gülhan, Başaran Süleyman Furkan, Özgümüş Tuba, Koç Buse, Mert Ali

机构信息

Department of Infectious Diseases and Clinical Microbiology, İstanbul Training and Research Hospital, İstanbul, Türkiye.

Department of Infectious Diseases and Clinical Microbiology, İstanbul Medipol University School of Medicine, İstanbul, Türkiye.

出版信息

Infect Dis Clin Microbiol. 2025 Mar 27;7(1):106-108. doi: 10.36519/idcm.2025.502. eCollection 2025 Mar.

DOI:10.36519/idcm.2025.502
PMID:40225709
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11991703/
Abstract

In this paper, we present a case of disseminated tuberculosis in a 25-year-old male patient infected with the human immunodeficiency virus. Following steroid treatment, the patient subsequently developed cutaneous lesions of Kaposi's sarcoma. A culture yielded complex that was sensitive to ethambutol but resistant to isoniazid, rifampicin, and streptomycin. Despite intensive treatment, the patient eventually succumbed to organ failure in hospital.

摘要

在本文中，我们报告了一例25岁感染人类免疫缺陷病毒的男性播散性结核病患者。在接受类固醇治疗后，该患者随后出现了卡波西肉瘤的皮肤病变。培养结果显示一种菌群，该菌群对乙胺丁醇敏感，但对异烟肼、利福平和链霉素耐药。尽管进行了强化治疗，该患者最终仍在医院死于器官衰竭。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751a/11991703/b0283f8d6d63/IDCM-7-1-502_Figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751a/11991703/b0283f8d6d63/IDCM-7-1-502_Figure1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/751a/11991703/b0283f8d6d63/IDCM-7-1-502_Figure1.jpg

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本文引用的文献

1
Opportunistic Infections Among Human Immunodeficiency Virus (HIV) Infected Patients in Turkey: A Systematic Review.土耳其人类免疫缺陷病毒（HIV）感染患者中的机会性感染：一项系统综述
Infect Dis Clin Microbiol. 2023 Jun 23;5(2):82-93. doi: 10.36519/idcm.2023.214. eCollection 2023 Jun.
2
Immune Reconstitution Inflammatory Syndrome Associated Kaposi Sarcoma.免疫重建炎症综合征相关的卡波西肉瘤
Cancers (Basel). 2022 Feb 16;14(4):986. doi: 10.3390/cancers14040986.
3
Emergence of Kaposi's Sarcoma Herpesvirus-Associated Complications Following Corticosteroid Use in TB-IRIS.
结核病免疫重建炎症综合征中使用皮质类固醇后卡波西肉瘤疱疹病毒相关并发症的出现
Open Forum Infect Dis. 2018 Oct 12;5(10):ofy217. doi: 10.1093/ofid/ofy217. eCollection 2018 Oct.
4
Steroids are a risk factor for Kaposi's sarcoma-immune reconstitution inflammatory syndrome and mortality in HIV infection.类固醇是卡波西肉瘤免疫重建炎症综合征的一个危险因素，也是HIV感染患者死亡的危险因素。
AIDS. 2016 Mar 27;30(6):909-14. doi: 10.1097/QAD.0000000000000993.
5
Kaposi sarcoma-associated herpesvirus-associated malignancies: epidemiology, pathogenesis, and advances in treatment.卡波西肉瘤相关疱疹病毒相关恶性肿瘤：流行病学、发病机制及治疗进展
Semin Oncol. 2015 Apr;42(2):223-46. doi: 10.1053/j.seminoncol.2014.12.027. Epub 2014 Dec 31.
6
Immune reconstitution inflammatory syndrome in patients starting antiretroviral therapy for HIV infection: a systematic review and meta-analysis.开始抗逆转录病毒疗法治疗 HIV 感染的患者中的免疫重建炎症综合征：系统评价和荟萃分析。
Lancet Infect Dis. 2010 Apr;10(4):251-61. doi: 10.1016/S1473-3099(10)70026-8.
7
Immune restoration disease after the treatment of immunodeficient HIV-infected patients with highly active antiretroviral therapy.免疫缺陷的HIV感染患者接受高效抗逆转录病毒治疗后出现的免疫重建疾病。
HIV Med. 2000 Mar;1(2):107-15. doi: 10.1046/j.1468-1293.2000.00012.x.
8
Highly active antiretroviral therapy and incidence of cancer in human immunodeficiency virus-infected adults.高效抗逆转录病毒疗法与人类免疫缺陷病毒感染成人的癌症发病率
J Natl Cancer Inst. 2000 Nov 15;92(22):1823-30. doi: 10.1093/jnci/92.22.1823.