Ahuja S K, Ahuja S S, Thelmo W, Seymour A, Phelps K R
Department of Medicine, Kings County Medical Center, Brooklyn.
Clin Infect Dis. 1993 Mar;16(3):432-4. doi: 10.1093/clind/16.3.432.
Extraneural manifestations of toxoplasmosis often are not recognized antemortem in patients with AIDS. We describe a patient who was seropositive for human immunodeficiency virus and presented with lethargy, abdominal tenderness, rapidly progressive ventilatory failure, rhabdomyolysis, myoglobinuria, and disseminated intravascular coagulation. Although the diagnosis of pancreatitis was not considered while the patient was alive, an autopsy demonstrated pancreatic necrosis associated with toxoplasmal cysts. No other infection was evident. This case suggests that Toxoplasma gondii can cause severe pancreatitis in patients with AIDS.
弓形虫病的神经外表现往往在艾滋病患者生前未被识别。我们描述了一名人类免疫缺陷病毒血清学阳性的患者，其表现为嗜睡、腹部压痛、快速进展的呼吸衰竭、横纹肌溶解、肌红蛋白尿和弥散性血管内凝血。尽管患者生前未考虑胰腺炎的诊断，但尸检显示胰腺坏死并伴有弓形虫囊肿。未发现其他明显感染。该病例提示，弓形虫可导致艾滋病患者发生严重胰腺炎。
