Ouatarra B, Kadjo K, Sanogo S, Koffi K, Niamkey E K, Yao Beda B
Service de médecine interne, CHU de Treichville, Abidjan, Côte d'Ivoire.
Bull Soc Pathol Exot. 1998;91(2):158-9.
The advent of AIDS has resulted in an increase in diseases which were previously rare. In HIV-infected subjects, histoplasmosis takes a disseminated and particularly severe form, with a fatal outcome in our country, the more so because the clinical presentation resembles tuberculosis and is generally treated as such. The authors report a case of disseminated histoplasmosis in a patient dually-reactive to HIV-1 and HIV-2, in whom the clinical presentation was fever, mediastinal lymphadenopathy and pulmonary infiltrates. The diagnosis of histoplasmosis was made at autopsy.
艾滋病的出现导致了以前罕见疾病的增加。在艾滋病毒感染的患者中，组织胞浆菌病呈播散性且病情特别严重，在我国会导致致命后果，尤其是因为其临床表现类似于结核病且通常按结核病进行治疗。作者报告了一例同时对HIV-1和HIV-2呈双重反应的患者发生播散性组织胞浆菌病的病例，该患者的临床表现为发热、纵隔淋巴结肿大和肺部浸润。组织胞浆菌病的诊断是在尸检时做出的。
