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本文报道一例并发内脏利什曼病(VL)的艾滋病患者。患者27岁,法国高加索人,同性恋者。1986年1月人体免疫缺陷病毒(HIV)血清学检查阳性。1987年6月给予“间质性浆细胞性肺炎”支持疗法,治疗有效。1987年10月因出现皮肤、腭部卡波济肉瘤(kaposi’s sarcoma)病变,开始用干扰素治疗。不久,患者诉吞咽困难、胸骨后疼痛和上腹痛伴间歇性腹泻。内窥镜检查发现有白色念珠菌性食道炎,组织活检意外发现食道、十二指肠的上皮细胞和微绒毛有严重的利什曼原虫感染。患者无发热,有轻微的脾肿大,胸片正常,血红
This article reports a case of AIDS patients with visceral leishmaniasis (VL). Patient 27 years old, French Caucasian, gay. January 1986 Human immunodeficiency virus (HIV) positive serology. June 1987 to give “interstitial plasma cell pneumonia” supportive therapy, effective treatment. In October 1987 due to skin, palatal kaposi’s sarcoma lesions, began to use interferon treatment. Shortly after, patients complained of dysphagia, suprasternal pain and upper abdominal pain with intermittent diarrhea. Endoscopic examination found that Candida albicans esophagitis, tissue biopsy unexpectedly found esophagus, duodenal epithelial cells and microvilli have severe Leishmania infection. Patients without fever, a slight splenomegaly, chest X-ray normal, red blood