一名艾滋病患者因副伤寒沙门氏菌引起的胸膜积脓。

Pleural empyema due to Salmonella paratyphi in a patient with AIDS.

作者信息

Wolday D, Seyoum B

机构信息

Black Lion Hospital and Department of Internal Medicine, Addis Ababa University, Ethiopia.

出版信息

Trop Med Int Health. 1997 Dec;2(12):1140-2. doi: 10.1046/j.1365-3156.1997.d01-214.x.

DOI:10.1046/j.1365-3156.1997.d01-214.x

PMID:9438469

Abstract

Pleural empyema due to Salmonella has rarely been reported in immunocompromised patients. Here, we present a case of a 25-year old man infected with the human immunodeficiency virus type-1 (HIV-1) who presented with a left-sided pleural effusion. The cause was confirmed bacteriologically to be due to Salmonella paratyphi. The outcome was favourable after antibiotic therapy coupled with pleural drainage. It should be recognised that pleural empyema due to Salmonella may occur in HIV-infected subjects and we suggest that patients presenting with pleural empyema due to uncommon pathogens be tested for HIV-1 antibodies.

摘要

沙门氏菌引起的胸膜积脓在免疫功能低下患者中鲜有报道。在此，我们报告一例25岁感染人类免疫缺陷病毒1型（HIV-1）的男性患者，该患者出现左侧胸腔积液。经细菌学确认，病因是副伤寒沙门氏菌。抗生素治疗联合胸腔引流后，结果良好。应认识到，沙门氏菌引起的胸膜积脓可能发生在HIV感染患者中，我们建议对因罕见病原体导致胸膜积脓的患者进行HIV-1抗体检测。