播散性结核伴肺和肾感染:1例严重免疫功能低下的HIV患者的确诊病例

Alain Farra, G. Tékpa, Gilles Ngaya, H. Gando, A. Manirakiza
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引用次数: 0

摘要

结核病仍然是一个主要的公共卫生问题。人类免疫缺陷病毒(艾滋病毒)感染的出现导致肺外形式结核病的急剧增加,具有多灶性病变的病例数量不容忽视。本研究报告了一名严重免疫功能低下的HIV患者,通过显微镜检查和GeneXpert MTB/RIF对痰和尿进行诊断,在没有尿检的情况下,特别是尿脂阿拉伯糖甘露聚糖测定(TB-LAM),诊断为肺和肾定位的弥散性结核病病例。关键词:结核病,播散性,免疫抑制,HIV,班吉
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Disseminated tuberculosis with pulmonary and renal infections: A confirmed case in a severely immunocompromised HIV patient
Tuberculosis continues to be a major public health issue. The advent of human immunodeficiency virus (HIV) infections led to a dramatic increase in extrapulmonary forms of tuberculosis, with a non-negligible number of cases with multifocal lesions. This study reports a disseminated tuberculosis case with pulmonary and renal localization in a severely immunocompromised HIV patient diagnosed by microscopic examination and the GeneXpert MTB/RIF on sputum and urine in the absence of a urine test, in particular, the urine lipoarabinomannan assay (TB-LAM). Key words: Tuberculosis, disseminated, immunosuppression, HIV, Bangui.
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