Barrio J, Lecona M, Cosin J, Olalquiaga F J, Hernanz J M, Soto J
Dermatology and Pathology Services, Gregario Maranón General Hospital, Madrid, Spain.
Br J Dermatol. 1996 Jan;134(1):164-6.
We report the first case of co-infection with herpes zoster and leishmania in the same lesion, on the face of a 29-year-old female, who was an intravenous drug user and who was HIV positive. The infection was initially resistant to acyclovir and itraconazole, and the patient died due to severe internal complications, not attributed to visceral leishmaniasis. The prevalence of leishmania infection in the Mediterranean countries is increasing among the HIV-positive population because of the existence of human carriers. Paradoxically, most of these patients show mild forms of visceral leishmaniasis.
我们报告了首例在同一病变部位同时感染带状疱疹和利什曼原虫的病例，患者为一名29岁的女性，面部出现该病变，她是一名静脉注射吸毒者且HIV呈阳性。感染最初对阿昔洛韦和伊曲康唑耐药，患者因严重的内部并发症死亡，这些并发症并非由内脏利什曼病引起。由于人类携带者的存在，地中海国家HIV阳性人群中利什曼原虫感染的患病率正在上升。矛盾的是，这些患者中的大多数表现为内脏利什曼病的轻度形式。
