Jablonowski H, Szelényi H, Borchard F, Döhring-Schwerdtfeger E, Hengels K J
Medizinische Klinik und Poliklinik, Heinrich-Heine-Universität Düsseldorf.
Z Gastroenterol. 1994 Jul;32(7):405-7.
We report the case of a 30-years old HIV-infected woman who suffered from recurrent fever up to 41 degrees C, loss of appetite, loss of 8 kg body weight and swelling of the cervical and inguinal lymph nodes. The diagnostic work-up revealed infection with leishmania in gastric and duodenal biopsies. The parasites were also found in the inguinal lymph nodes and in the bone marrow of the patient. According to patient's history the infection was acquired on a holiday in southern spain. The patient was treated with pentavalent antimony in combination with interferon gamma. Visceral leishmaniosis in immuno-suppressed patients is discussed and therapeutic approaches are described.
我们报告了一名30岁感染艾滋病毒的女性病例，她反复发烧至41摄氏度，食欲不振，体重减轻8公斤，颈部和腹股沟淋巴结肿大。诊断检查显示，在胃和十二指肠活检中发现利什曼原虫感染。在患者的腹股沟淋巴结和骨髓中也发现了这些寄生虫。根据患者病史，感染是在西班牙南部度假时获得的。该患者接受了五价锑联合干扰素γ治疗。讨论了免疫抑制患者的内脏利什曼病，并描述了治疗方法。
