Two cases of AIDS diagnosed by onset of interstitial pneumonia

Sawaguchi H; Nakajima H; Nakajima S; Konishi M

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Two cases of AIDS diagnosed by onset of interstitial pneumonia

机译：两种疾病患者诊断出间质肺炎

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Case 1: A 35-year-old man admitted for fever and respiratory failure during several weeks was found in chest computed tomography (CT) to have interstitial pneumonia, and the plasma beta-D-glucan level indicated Pneumocystis jiverocii pneumonia. Psoriasis from second-stage syphilis raised the suspicion of HIV infection. Serum anti-HIV-1 antibody proved positive and CD4-positive lymphocytes in peripheral blood were 18/microL. The man died despite treatment. Autopsy confirmed P. jiverocii pneumonia. Case 2: A 28-year-old man seen for a fever and respiratory failure was found in chest CT to have mild interstitial pneumonia. We checked for hypersensitivity pneumonitis, Mycoplasma pneumoniae pneumonia, etc. The plasma beta-D-glucan level indicated possible P. jirovecii pneumonia and immunodeficiency. Serum anti-HIV-1 antibody proved positive and CD4-positive lymphocytes in peripheral blood were 34/microL. The man was treated successfully, using trimethoprim with sulfamethoxazole for his interstitial pneumonia. His clinical symptoms were compatible with P. jirovecii pneumonia. P. jirovecii pneumonia with AIDS may present with more subacute or subtle symptoms than other immunosuppressive diseases, making it difficult to diagnose. Medical professionals should thus make it a point to familiarize themselves with AIDS prevention.

机译：案例1：在胸部计算断层扫描（CT）中发现了一名35岁的男子在几周内发现了胸腔计算机断层扫描（CT），以患有间质性的肺炎，并且血浆β-D-葡聚糖水平表明肺炎血管症Jiverocii肺炎。来自第二阶段梅毒的牛皮癣提出了艾滋病毒感染的怀疑。血清抗HIV-1抗体证明了外周血中的阳性和CD4阳性淋巴细胞为18 / micro。这名男子尽管治疗尽管。尸检证实了P. Jiverocii肺炎。案例2：在胸部CT中发现了一名28岁的男子，发现发烧和呼吸衰竭患有轻度间质肺炎。我们检查过敏感性肺炎，支原体肺炎肺炎等。血浆β-D-葡聚糖水平表明可能的P.Jirovecii肺炎和免疫缺陷。血清抗HIV-1抗体证明了外周血中的阳性和CD4阳性淋巴细胞34 / micro。该男人被成功治疗，使用Trimethokim与磺胺甲恶唑为他的间质肺炎。他的临床症状与P.Jirovecii肺炎相容。 P.Jirovecii肺炎患有艾滋病的肺炎可能与其他免疫抑制疾病的亚急性或微妙的症状出现，使得难以诊断。因此，医疗专业人员应该使其成为熟悉艾滋病预防的点。

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来源
《感染症学雑誌》 |2007年第1期|共5页
作者
Sawaguchi H; Nakajima H; Nakajima S; Konishi M;
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作者单位

Department of Respiratory and Allergy Medicine Kinki University of Medicine Nara Hospital. Infectious Diseases;

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原文格式 PDF
正文语种 jpn
中图分类内科学;
关键词
Pneumonia; interstitial; Male population group; X-Ray Computed Tomography; 肺炎;

机译：肺炎;间隙;男性人口组;X射线计算断层扫描;肺炎;

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Two cases of AIDS diagnosed by onset of interstitial pneumonia

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