传染病信息2024,Vol.37Issue(4) :381-384.DOI:10.3969/j.issn.1007-8134.2024.04.018

艾滋病合并肠道马尔尼菲篮状菌感染1例

AIDS combined with intestinal Talaromycosis marneffei infection:a case

李翔 陈海云 付旭文 李海雯 张乐
传染病信息2024,Vol.37Issue(4) :381-384.DOI:10.3969/j.issn.1007-8134.2024.04.018

艾滋病合并肠道马尔尼菲篮状菌感染1例

AIDS combined with intestinal Talaromycosis marneffei infection:a case

李翔 1陈海云 1付旭文 1李海雯 1张乐1
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作者信息

  • 1. 650041,昆明市第三人民医院/云南省传染性疾病临床医学中心
  • 折叠

摘要

小肠出血是较为常见的临床问题,且诊断具有一定的挑战性.本文报道了1例艾滋病合并肠道马尔尼菲篮状菌感染患者,表现为发热、腹痛、血便,CT提示空肠上段活动性出血,内镜提示空肠上段黏膜病变,血培养及内镜下活检提示马尔尼菲蓝状菌感染,行抗真菌治疗后,病情好转.这提示马尔尼菲蓝状菌可感染肠道,引起肠道出血等并发症,应用多种检查方法积极寻找出血部位,诊断明确后有效的抗真菌治疗,可取得良好疗效.

Abstract

Intestinal bleeding is a relatively common clinical problem,and the diagnosis of intestinal bleeding is challenging. This article reports a case of an AIDS patient presenting with fever,abdominal pain,and hematochezia,with CT suggesting active bleeding in the upper jejunum,endoscopy suggesting mucosal lesions in the upper jejunum,and blood cultures and endoscopic biopsy suggesting infection with Talaromycosis Marneffei. The patient was treated with antifungal therapy and improved. The article suggests that the Talaromycosis Marneffei can infect the intestinal tract and cause bleeding and other complications,applying a variety of examination methods to search for the bleeding site,and effective antifungal treatment after the diagnosis is clear,can achieve good results.

关键词

获得性免疫缺陷综合征/马尔尼菲篮状菌/真菌病/空肠疾病

Key words

acquired immunodeficiency syndrome/Talaromycosis Marneffei/mycoses/jejunal diseases

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基金项目

昆明科技计划项目(2024-1-NS-0032)

出版年

2024
传染病信息
解放军第三0二医院

传染病信息

CSTPCD
影响因子:1.366
ISSN:1007-8134
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