艾滋病相关卡波西肉瘤感染溶组织内阿米巴1例  

A Case Report of AIDS Associated Kaposi Sarcoma Infected with Amoeba Entamoba Histolytica

作　　者：张建平[1] 敬一佩 张峰[1] 李静[1] 郝英英[1] 孙胜利[1] 郭野[1] ZHANG Jianping;JING Yipei;ZHANG Feng;LI Jing;HAO Yingying;SUN Shengli;GUO Ye(Department of Clinical Laboratory,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Science,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院检验科,北京100730

出　　处：《标记免疫分析与临床》2024年第9期1758-1760,共3页Labeled Immunoassays and Clinical Medicine

基　　金：中央高水平医院临床科研业务费资助项目(编号:2022-PUMCH-A057)。

摘　　要：患者,男,32岁,一过性发热伴紫红色结节样皮疹6月余,HIV-Ab(+)、II期梅毒,进一步进行治疗中。卡波西肉瘤(T1I1S1)累及咽喉、皮肤、淋巴结、肺、消化道,行C1-2紫杉醇(泰素)治疗。入院后行粪便常规检查,发现溶组织内阿米巴,口服甲硝唑治疗后,4d后结果转为阴性。提示临床在患者粪便检查出现溶组织阿米巴包囊体或滋养体时,患者无论是否出现阿米巴肠炎相关症状,患者均需要积极治疗。The reported patient is a 32 year old male with transient fever accompanied by purplish red nodular rash for over 6 months.The patient is with HIV positive and stage II syphilis.Currently,the patient is receiving oral treatment with lamivudine,everalen,and tenofovir fumarate dipivoxime tablets.Kaposi’s sarcoma(TI11S1)was found in throat,skin,lymph nodes,lungs,and digestive tract,and is treated with C1-2paclitaxel(paclitaxel).After patient’s admission,routine fecal examination was performed,and it was found that Entamoeba histolyticus was encapsulated.After oral treatment with metronidazole,the result turned negative after 4 days.Our study suggests that in clinical practice,when the patient’s fecal examination shows the presence of amoebic cysts or trophoblasts,regardless of whether the patient has symptoms related to amoebic enteritis,active treatments are necessary.

关 键 词：艾滋病相关卡波西肉瘤 溶组织内阿米巴 感染 

分 类 号：R512.91[医药卫生—内科学]