Chenoweth C E, Singal S, Pearson R D, Betts R F, Markovitz D M
Department of Internal Medicine, University of Michigan, Ann Arbor.
Chest. 1993 Feb;103(2):648-9. doi: 10.1378/chest.103.2.648.
Visceral leishmaniasis is increasingly reported in immunocompromised patients, including patients with AIDS. We report a case of visceral leishmaniasis in an AIDS patient who presented with pulmonary symptoms and bilateral pleural effusions. Histologic evaluation of pleural fluid and bone marrow revealed histiocytes with intracellular Leishmania amastigotes. Visceral leishmaniasis should be considered in AIDS patients with a significant travel history who present with unexplained pulmonary symptoms.
免疫功能低下的患者，包括艾滋病患者，内脏利什曼病的报告日益增多。我们报告了一例艾滋病患者的内脏利什曼病，该患者表现为肺部症状和双侧胸腔积液。对胸腔积液和骨髓的组织学评估显示，组织细胞内有杜氏利什曼原虫无鞭毛体。对于有重要旅行史且出现不明原因肺部症状的艾滋病患者，应考虑内脏利什曼病。
