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一名感染HIV患者中与[相关内容缺失]相关痢疾的非典型表现。

Atypical Presentation of -Related Dysentery in an HIV-Infected Patient.

作者信息

Candradikusuma Didi, Kalim Handono, Fitri Loeki Enggar, Pawestri Aulia Rahmi, Winaris Nuning, Hayati Sara, Putri Syarellia Safira, Rahmawati Hanifa Rizky, Kaisar Maria Mardalena Martini

机构信息

Doctoral Program in Medical Science, Department of Medicine, Faculty of Medicine, Universitas Brawijaya, Malang, East Java, Indonesia.

Department of Internal Medicine, Faculty of Medicine, Universitas Brawijaya/Dr. Saiful Anwar General Hospital, Malang, East Java, Indonesia.

出版信息

Int Med Case Rep J. 2025 Aug 18;18:1047-1051. doi: 10.2147/IMCRJ.S532766. eCollection 2025.

DOI:10.2147/IMCRJ.S532766
PMID:40862206
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12372837/
Abstract

() is a protozoan parasite that inhabiting the gastrointestinal tract of humans and animals. Often considered a commensal parasite, severe manifestations are uncommon and isolated. This case report describes a case of infection in an HIV-seropositive individual manifesting as dysentery. The diagnosis was confirmed through both microscopic and quantitative Polymerase Chain Reaction (qPCR), which proved to be highly sensitive and specific for detecting this parasite. The patient was treated with cotrimoxazole and metronidazole in addition to antiretroviral therapy. The findings underscore the importance of utilizing advanced diagnostic techniques to accurately identify in immunocompromised patients, thereby facilitating prompt and appropriate management.

摘要

（）是一种原生动物寄生虫，寄生于人和动物的胃肠道。它通常被认为是一种共生寄生虫，严重表现并不常见且较为孤立。本病例报告描述了一名HIV血清阳性个体感染（）表现为痢疾的病例。通过显微镜检查和定量聚合酶链反应（qPCR）确诊，这两种方法在检测这种寄生虫方面被证明具有高度敏感性和特异性。除抗逆转录病毒疗法外，该患者还接受了复方新诺明和甲硝唑治疗。这些发现强调了利用先进诊断技术准确识别免疫功能低下患者中（）的重要性，从而促进及时和适当的管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/12372837/5b48415b3107/IMCRJ-18-1047-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/12372837/2a498e0f4022/IMCRJ-18-1047-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/12372837/5b48415b3107/IMCRJ-18-1047-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/12372837/2a498e0f4022/IMCRJ-18-1047-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4bf5/12372837/5b48415b3107/IMCRJ-18-1047-g0002.jpg

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