一名艾滋病患者因伞枝犁头霉引发肾脏感染。

Renal infection due to Absidia corymbifera in an AIDS patient.

作者信息

Torres-Rodríguez J M, Lowinger M, Corominas J M, Madrenys N, Saballs P

机构信息

Laboratory of Mycology, Autonomous University of Barcelona, Spain.

出版信息

Mycoses. 1993 Jul-Aug;36(7-8):255-8. doi: 10.1111/j.1439-0507.1993.tb00760.x.

DOI:10.1111/j.1439-0507.1993.tb00760.x

PMID:8114804

Abstract

A case of renal zygomycosis due to Absidia corymbifera in an heroin addict suffering from AIDS (phase IV C2) is described. Diagnosis was by histopathology after nephrectomy, but A. corymbifera was isolated several times from urine and from the exudate from a fistula in the surgical wound. After amphotericin B treatment (1.5 g overall dose) clinical cure and negative cultures were obtained. No relapses were observed until death 1 year later from Pneumocystis carinii pneumonia.

摘要

本文描述了一例艾滋病（IV期C2）合并海洛因成瘾者发生的由伞枝犁头霉引起的肾接合菌病。诊断是在肾切除术后通过组织病理学做出的，但从尿液和手术伤口瘘管的渗出物中多次分离出伞枝犁头霉。在接受两性霉素B治疗（总剂量1.5g）后，实现了临床治愈且培养结果为阴性。直到1年后因卡氏肺孢子虫肺炎死亡，均未观察到复发。