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结核性心包炎作为艾滋病的首发表现。

Tuberculous pericarditis as the first manifestation of AIDS.

作者信息

Pedro-Botet J, Auguet T, Coll J, Pons S, Rubiés-Prat J

机构信息

Dept. of Medicine, Hospital del Mar, Universidad Autónoma de Barcelona, Spain.

出版信息

Infection. 1993 Sep-Oct;21(5):334-5. doi: 10.1007/BF01712459.

DOI:10.1007/BF01712459
PMID:8300254
Abstract

Although it is known that extrapulmonary tuberculosis in patients with AIDS has a broad spectrum of clinical manifestations, pericardial involvement has rarely been described. We report a case of this condition as the first manifestation of AIDS with good response to antituberculous therapy. Although unusual, the diagnosis of tuberculous pericarditis in symptomatic HIV-infected patients should be aggressively pursued because of the beneficial clinical response to treatment.

摘要

尽管已知艾滋病患者的肺外结核有广泛的临床表现,但心包受累的情况很少被描述。我们报告一例这种情况作为艾滋病的首发表现,对抗结核治疗反应良好。虽然不常见,但对于有症状的HIV感染患者,应积极进行结核性心包炎的诊断,因为治疗会带来有益的临床反应。

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[Tuberculous pericarditis as the initial manifestation of acquired immunodeficiency syndrome].[结核性心包炎作为获得性免疫缺陷综合征的初始表现]
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引用本文的文献

1
Tuberculous pericarditis and AIDS: case reports and review.结核性心包炎与艾滋病:病例报告及综述
Eur J Epidemiol. 1997 Oct;13(7):755-9. doi: 10.1023/a:1007313902175.

本文引用的文献

1
Cardiac involvement, including tuberculous pericardial effusion, complicating acquired immune deficiency syndrome.心脏受累,包括结核性心包积液,并发获得性免疫缺陷综合征。
Am Heart J. 1986 Nov;112(5):1100-2. doi: 10.1016/0002-8703(86)90331-5.
2
Tuberculosis as a manifestation of the acquired immunodeficiency syndrome (AIDS).结核病作为获得性免疫缺陷综合征(艾滋病)的一种表现形式。
JAMA. 1986 Jul 18;256(3):362-6.
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Tuberculous pericarditis as the first manifestation of acquired immunodeficiency syndrome.结核性心包炎作为获得性免疫缺陷综合征的首发表现。
Am Heart J. 1987 Oct;114(4 Pt 1):905-6. doi: 10.1016/0002-8703(87)90807-6.
4
Human T-cell lymphotropic virus-III (HTLV-III) seropositivity and related disease among 71 consecutive patients in whom tuberculosis was diagnosed. A prospective study.71例连续诊断为结核病患者中的人类嗜T淋巴细胞病毒III型(HTLV-III)血清阳性及相关疾病。一项前瞻性研究。
Am Rev Respir Dis. 1987 Apr;135(4):875-9. doi: 10.1164/arrd.1987.135.4.875.
5
Tuberculosis in patients with the acquired immunodeficiency syndrome. Clinical features, response to therapy, and survival.获得性免疫缺陷综合征患者的结核病。临床特征、治疗反应及生存情况。
Am Rev Respir Dis. 1987 Sep;136(3):570-4. doi: 10.1164/ajrccm/136.3.570.
6
Tuberculous pericarditis: ten year experience with a prospective protocol for diagnosis and treatment.结核性心包炎:一项关于诊断和治疗的前瞻性方案的十年经验
J Am Coll Cardiol. 1988 Apr;11(4):724-8. doi: 10.1016/0735-1097(88)90203-3.
7
Early and late results of pericardiectomy in 118 cases of constrictive pericarditis.118例缩窄性心包炎心包切除术的早期和晚期结果
Thorax. 1988 Aug;43(8):637-41. doi: 10.1136/thx.43.8.637.
8
Revision of the CDC surveillance case definition for acquired immunodeficiency syndrome. Council of State and Territorial Epidemiologists; AIDS Program, Center for Infectious Diseases.美国疾病控制与预防中心获得性免疫缺陷综合征监测病例定义的修订版。州和地区流行病学家委员会;传染病中心艾滋病项目。
MMWR Suppl. 1987 Aug 14;36(1):1S-15S.
9
Tuberculosis and the new CDC case definition for AIDS.结核病与美国疾病控制与预防中心(CDC)对艾滋病的新病例定义
Lancet. 1988 Apr 9;1(8589):832-3. doi: 10.1016/s0140-6736(88)91698-4.
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Treatment of AIDS-associated heart disease.艾滋病相关性心脏病的治疗。
Angiology. 1989 Nov;40(11):970-6. doi: 10.1177/000331978904001106.