Selby D M, Chandra R S, Rakusan T A, Loechelt B, Markle B M, Visvesvara G S
Department of Pathology, Children's National Medical Center, Washington, DC 20010-2970, USA.
Pediatr Pathol Lab Med. 1998 Jan-Feb;18(1):89-95.
Disseminated Acanthamoeba infection has been described in immunocompromised or debilitated patients. The usual sites of involvement are skin, sinus, and brain. Sporadic reports of Acanthamoeba infection in patients infected with the human immunodeficiency virus are present in recent literature, predominantly in adults, and one case involving an 8-year-old child. We describe a case of amebic osteomyelitis, seen in a 6-year-old child with vertically acquired human immunodeficiency virus and a 6-month history of cutaneous Acanthamoeba infection.
播散性棘阿米巴感染在免疫功能低下或身体虚弱的患者中已有报道。常见受累部位为皮肤、鼻窦和大脑。近期文献中有关于人类免疫缺陷病毒感染患者发生棘阿米巴感染的零星报道,主要发生在成人中,也有一例涉及一名8岁儿童。我们报告一例阿米巴骨髓炎病例,见于一名6岁垂直感染人类免疫缺陷病毒且有6个月皮肤棘阿米巴感染病史的儿童。