获得性免疫缺陷综合征的大量咯血

British journal of diseases of the chest Pub Date : 1988-01-01 DOI:10.1016/0007-0971(88)90099-X

Larry Wasser , Wilfredo Talavera , Patricia Villamena , Marie-Rose Akin , Karen Fox

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引用次数: 1

摘要

一名32岁男性静脉注射药物滥用者因体质症状及痰涂片含抗酸杆菌而入院，胸片未见实质病变。他随后出现大量咯血，需要紧急肺叶切除术。病理标本显示军性结核伴广泛干酪化、血吸虫病和巨细胞病毒。这是首例获得性免疫缺陷综合征的大咯血报告。严重的肺出血最有可能是由军人结核引起的。

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Massive haemoptysis in the acquired immunodeficiency syndrome

A 32-year-old male intravenous drug abuser was admitted to our institution with constitutional symptoms and sputum smears containing acid-fast bacilli, but no parenchymal disease on chest radiograph. He subsequently developed massive haemoptysis and required an emergency lobectomy. The pathology specimen revealed miliary tuberculosis with extensive caseation, schistosomiasis and cytomegalovirus. This is the first report of massive haemoptysis in the acquired immunodeficiency syndrome. The severe pulmonary haemorrhage was most likely due to miliary tuberculosis.

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British journal of diseases of the chest

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