Disseminated Mycobacterium avium complex presenting as hematochezia in an infant with rapidly progressive acquired immunodeficiency syndrome.
Disseminated Mycobacterium avium complex presenting as hematochezia in an infant with rapidly progressive acquired immunodeficiency syndrome.
复制标题
播散性鸟分枝杆菌复合体在患有快速进展性获得性免疫缺陷综合征的婴儿中表现为便血。
DOI:
10.1097/00006454-199608000-00020
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发表时间:
1996
期刊:
影响因子:
--
通讯作者:
Gilger,M
中科院分区:
文献类型:
--
作者:
Keller,C;Kirkpatrick,S;Lee,K;Paul,M;Hanson,IC;Gilger,M
The advent of pediatric AIDS has increased the clinician's awareness of many opportunistic infections and neoplasms. As the largest lymphoid organ in the body, the luminal gastrointestinal tract may be the first to manifest signs of immunodeficiency. Opportunistic infections include bacteria (Salmonella, Campylobacter, nontuberculous Mycobacterium), protozoa (Cryptosporidium, Microsporidium), fungi, viruses (rotavirus, herpes and hepatitis viruses) and worms (Strongyloides stercoralis). 1, 2 In children symptoms may range from malabsorption with malnutrition and protein-losing enteropathy to chronic diarrhea and/or bloody stools. 2Processes associated with gastrointestinal blood loss in the pediatric AIDS patient include idiopathic thrombocytopenia, cytomegalovirus (CMV) colitis, candidal esophagitis and severe enteric bacterial infections. 2 HIV-infected children have an increased incidence of tumors affecting the gastrointestinal tract, such as leiomyosarcoma, Kaposi's sarcoma and lymphoma. 3