一名艾滋病病毒感染者的散播性俘虏组织胞浆菌感染。

Q4 Medicine

Ugeskrift for laeger Pub Date : 2024-08-05 DOI:10.61409/V03240205

Sanne Ørnfeldt Larsen, Jacob Bodilsen, Birgitte Mørn

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引用次数: 0

摘要

荚膜组织胞浆菌病是一种二形真菌，因其在全球多个地区的流行而被公认。在免疫力低下的人群中，它可能会引起严重的机会性播散感染。本病例报告的是一名来自泰国的 33 岁男子，因发热、体重减轻、咳嗽、流鼻血和新诊断出的艾滋病毒而被丹麦一家医院收治。临床病情迅速恶化，出现肺和肾功能衰竭。患者被诊断为首次在血液涂片中发现的荚膜真菌血症。他接受了静脉注射两性霉素 B 和口服伊曲康唑以及抗逆转录病毒治疗。

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Disseminated Histoplasma captulatum infection in a patient with HIV.

Histoplasmosis capsulatum is a dimorphic fungus, recognised for its endemic presence in multiple global regions. It may cause severe opportunistic disseminated infection in immunocompromised individuals. This is a case report of a 33-year-old man from Thailand who was admitted at a Danish hospital with fever, weight loss, cough, nosebleeds, and newly diagnosed HIV. The clinical condition rapidly deteriorated with lung and kidney failure. The patient was diagnosed with H. capsulatum fungaemia first detected on blood smear. He was treated with intravenous amphotericin B followed by oral itraconazole as well as antiretroviral therapy.

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来源期刊

Ugeskrift for laeger Medicine-Medicine (all)

CiteScore

0.20

自引率

0.00%

发文量

345

期刊介绍： The Ulster Medical Journal is an international general medical journal with contributions on all areas of medical and surgical specialties relevant to a general medical readership. It retains a focus on material relevant to the health of the Northern Ireland population. The Honorary Editor would welcome offers of papers for publication. Prospective authors are invited to read the notice to contributors.