https://scholars.lib.ntu.edu.tw/handle/123456789/589052
標題: | Intestinal, obstruction and peritonitis resulting from gastrointestinal histoplasmosis in an AIDS patient | 作者: | CHIEN-CHING HUNG Wong J.-M. PO-REN HSUEH SZU-MIN HSIEH Chen M.-Y. |
公開日期: | 1998 | 卷: | 97 | 期: | 8 | 起(迄)頁: | 577-580 | 來源出版物: | Journal of the Formosan Medical Association | 摘要: | Gastrointestinal histoplasmosis complicated by intestinal obstruction and peritonitis has not been reported. We report a case of gastointestinal histoplasmosis in a 27-year-old patient with acquired immunodeficiency syndrome (AIDS). The patient was a Chinese man from Thailand with a history of intravenous drug use and unprotected sex with female prostitutes. He was admitted for prolonged fever, abdominal pain, and diarrhea. Colonoscopy revealed volcano-like ulcers and tumors, while computed tomography of the abdomen showed a colon tumor and hypoattenuated lymphadenopathy of the retroperitoneum. Histopathologic examination as well as cultures of colon biopsy specimens and an aspirate from the retroperitoneal lymphadenopathy revealed Histoplasma capsulatum. Intestinal obstruction and peritonitis requiring surgical intervention developed, despite amphotericin B therapy. Histoplasmosis should be included in the differential diagnosis in AIDS patients who present with colon tumors, retroperitoneal lymphadenopathy, and peritonitis. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-0031668580&partnerID=40&md5=dae7f8dd73ed1496a40f0481cda833e1 https://scholars.lib.ntu.edu.tw/handle/123456789/589052 |
ISSN: | 0929-6646 | SDG/關鍵字: | amphotericin b; ceftazidime; itraconazole; abdominal pain; acquired immune deficiency syndrome; adult; article; case report; colon tumor; colonoscopy; diarrhea; differential diagnosis; drug abuse; fever; gram negative infection; histopathology; histoplasma capsulatum; histoplasmosis; human; intestine obstruction; intraspinal drug administration; intravenous drug administration; lymphadenopathy; male; peritonitis; Acquired Immunodeficiency Syndrome; Adult; Gastrointestinal Diseases; Histoplasmosis; Humans; Intestinal Obstruction; Male; Peritonitis |
顯示於: | 醫學系 |
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