散布的Mycobacterium和Avium复合体,在免疫功能低下的患者中呈现单独的腹
Leah Froehle1, Natalia Torres1, Audrey Li2
1Department of Medicine, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, USA.
International journal of STD & AIDS
|October 18, 2025
概括
一个罕见的Mycobacterium avium复合体 (MAC) 感染病例,患者患有先进的人类免疫缺陷病毒 (HIV),呈现为腹. 这凸显了需要考虑免疫功能低下个体的不寻常感染.
科学领域:
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
- 胃肠病学 胃肠病学
背景情况:
- 菌复合体 (MAC) 是一种常见于高级人类免疫缺陷病毒 (HIV) 的机会性感染.
- 由于MAC造成的腹形成是一种罕见的临床表现.
- 晚期艾滋病毒严重免疫抑制会增加对机会性感染的易感性.
研究的目的:
- 报告一种罕见的传播性MAC病例,该病例呈现为腹,发生在新确诊的HIV患者身上.
- 强调在晚期艾滋病毒患者中考虑非典型的焦点感染的重要性.
主要方法:
- 一个35岁的男性新确诊的艾滋病毒病例报告.
- 临床表现包括慢性咳,发烧,腹部不适和全细胞减小.
- 诊断工作包括成像,培养 (唾液,便,液排水),淋巴结活检和十二指肠活检.
主要成果:
- 图像检测显示了一个单独的脏.
- 传播的MAC通过培养和活检得到证实.
- 该患者还患有细胞巨乳病毒性病毒病,食道候群病和与MAC相关的粒状肝炎.
- 治疗包括特定于MAC的抗生素和抗逆转录病毒疗法 (ART).
结论:
- 散布的MAC很少表现为一个孤独的,可排水的腹在严重免疫功能低下的个体与先进的艾滋病毒.
- 这一案例强调了在高级艾滋病毒患者的差异诊断中考虑不寻常的焦点感染的重要性.
- 及时诊断和适当的抗微生物治疗和ART治疗对于管理这种复杂的病例至关重要.
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