一名获得性免疫缺陷综合征患者的播散性组织胞浆菌病相关心脏压塞

Disseminated Histoplasmosis-Associated Cardiac Tamponade in a Patient With Acquired Immunodeficiency Syndrome.

作者信息

Ramcharan Priya, Katwaroo Arun, Maharaj Matthew, Seecheran Valmiki, Seecheran Rajeev, Peram Lakshmipathi, Giddings Stanley, Seecheran Naveen

机构信息

North Central Regional Health Authority, Mt. Hope, Trinidad and Tobago.

North West Regional Health Authority, Port of Spain, Trinidad and Tobago.

出版信息

J Investig Med High Impact Case Rep. 2025 Jan-Dec;13:23247096251342922. doi: 10.1177/23247096251342922. Epub 2025 Jun 13.

DOI:10.1177/23247096251342922

PMID:40514797

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12166239/

Abstract

We describe a case of a 57-year-old Caribbean-Black male with a medical history of concealed human immunodeficiency virus/acquired immunodeficiency syndrome who presented with cardiac tamponade (CT) secondary to disseminated histoplasmosis. The patient underwent emergent pericardiocentesis with immediate normalization of his hemodynamic status and resolution of obstructive shock. The clinician should consider atypical etiologies of CT, such as opportunistic infections in patients with HIV/AIDS.

摘要

我们描述了一例57岁的加勒比黑人男性病例，其有隐匿性人类免疫缺陷病毒/获得性免疫缺陷综合征病史，因播散性组织胞浆菌病出现心脏压塞（CT）。患者接受了紧急心包穿刺术，血流动力学状态立即恢复正常，梗阻性休克得到缓解。临床医生应考虑心脏压塞的非典型病因，如人类免疫缺陷病毒/获得性免疫缺陷综合征患者的机会性感染。