由于 histoplasmosis 导致的 Jejunal 穿孔 关于一个案例
Sergio A Mozo Pacheco1,2, Jaime A Marín Ordoñez1,3, Angie D Sandoval Blanco1,4
1Department of Surgery, Central Military Hospital, Bogotá, Colombia.
Surgical infections
|August 12, 2024
概括
菌性感染的细胞质,可以导致胃肠道并发症,如艾滋病毒/艾滋病患者的阴穿孔. 这一案例突显出一种罕见但严重的情况,需要进行手术.
科学领域:
- 医学真菌学 医学真菌学
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 血清性质是一种真菌感染,越来越多地影响免疫力低下的个体,特别是艾滋病毒/艾滋病患者.
- 散布性细胞质,特别是胃肠道干扰,在这个患者群体中很常见.
- 虽然很少见,但已经记录了由基质等离子体引起的阴穿孔,主要是在艾滋病毒感染的中年男性中.
研究的目的:
- 报告患有艾滋病毒的患者中由基因质粒异位引起的阴穿孔病例.
- 强调胃肠组织等离子体病的诊断和临床挑战.
- 突出强调在艾滋病毒阳性个体的腹部紧急情况中考虑基因质等离子体的重要性.
主要方法:
- 一个34岁的男性病例报告,有艾滋病毒和结肠组织等离子体病史.
- 呈现与急性腹部疼痛.
- 手术探索 (拉巴切除术) 和肠切除由于孔穿孔.
- 在切除的头节段中对血清质的基因病理学确认.
主要成果:
- 患者经历了急性腹痛,需要手术.
- 探索性腹腔切除术揭示了阴穿孔.
- 进行了肠切除,组织病理学证实了传播性组织等离子体.
- 该患者已知有艾滋病毒和结肠组织等离子体病史.
结论:
- 孔穿孔是艾滋病毒阳性个体传播性细胞质的罕见但关键并发症.
- 临床表现可能会变化,模仿其他急性腹部疾病.
- 及时诊断和手术治疗,以及适当的抗真菌疗法,对于患者的治疗结果至关重要.
相关概念视频
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