Cargnel A, Vigano P, Davoli C, Morelli R, Perna M C, Mariscotti C
Am J Gastroenterol. 1983 Apr;78(4):245-7.
A 19-year-old woman developed acute jaundice and abnormal liver tests showing acute viral hepatitis, presumably non-A non-B. The viral hepatitis, on the 4th day after admission, was complicated by aplastic anemia. Therapy with hydrocortisone promptly instituted was ineffective and a bone marrow transplantation was not possible because we could not find a compatible donor. Sixty-five days after admission the patient died of infection by Candida tropicalis. Postmortem examination showed total medullary aplasia with massive impoverishment of all the lymphatic structures and multiple fungal infarctions in the myocardium, lungs, spleen, kidneys, and liver.
一名19岁女性出现急性黄疸，肝功能检查异常，显示为急性病毒性肝炎，推测为非甲非乙型。入院后第4天，病毒性肝炎并发再生障碍性贫血。立即开始使用氢化可的松治疗无效，由于找不到匹配的供体，无法进行骨髓移植。入院65天后，患者死于热带假丝酵母菌感染。尸检显示全髓性再生障碍，所有淋巴结构严重萎缩，心肌、肺、脾、肾和肝脏出现多处真菌梗死。
