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AIDS并发马尔尼菲青霉及白念珠菌感染
引用本文:刘素琴,何勤,季福玲,李家锋,马璐,肖玉凤.AIDS并发马尔尼菲青霉及白念珠菌感染[J].临床皮肤科杂志,2006,35(11):723-725.
作者姓名:刘素琴  何勤  季福玲  李家锋  马璐  肖玉凤
作者单位:贵阳医学院附属医院皮肤科,贵州,贵阳,550004;贵阳医学院附属医院皮肤科,贵州,贵阳,550004;贵阳医学院附属医院皮肤科,贵州,贵阳,550004;贵阳医学院附属医院皮肤科,贵州,贵阳,550004;贵阳医学院附属医院皮肤科,贵州,贵阳,550004;贵阳医学院附属医院皮肤科,贵州,贵阳,550004
基金项目:中国医学科学院,中国协和医科大学皮肤病研究所刘维达,曾学思教授为本文菌种鉴定和组织病理诊断提供了指导和帮助,特此致谢.
摘    要:报告1例AIDS并发马内菲青霉菌和白念珠菌感染。患者男,48岁。反复发热、进行性消瘦2个月,全身散在丘疹、脓疱、结节20余天。皮肤科检查见全身散在分布较多坏死性丘疹及部分传染性软疣样丘疹,颊黏膜及舌部附有大片白色凝乳样块状物。皮损组织病理检查示组织细胞内充满酵母样菌体,PAS染色阳性,并有大量葡萄状或桑椹状孢子聚集。皮损真菌培养见马内菲青霉菌生长。口腔分泌物真菌培养有马内菲青霉菌和白念珠菌生长。抗HIV抗体检测阳性。

关 键 词:艾滋病  马尔尼菲青霉  白念珠菌
文章编号:1000-4963(2006)11-0723-03
收稿时间:2006-05-11
修稿时间:2006-07-21

A case of Penicillium marneffei and Candida albicans infection with AIDS
LIU Su-qin,HE Qin,JI Fu-ling,LI Jia-feng,MA Lu,XIAO Yu-feng.A case of Penicillium marneffei and Candida albicans infection with AIDS[J].Journal of Clinical Dermatology,2006,35(11):723-725.
Authors:LIU Su-qin  HE Qin  JI Fu-ling  LI Jia-feng  MA Lu  XIAO Yu-feng
Institution:Department of Dermatology, the Affiliated Hospital, Guiyong Medical College, Guiyong 550004, China
Abstract:A 48-year-old man who had been recurrent fever and weight loss for two months was hospitalized because of skin rashes for twenty days.Many scattered necrotic papula and molluscum contagiosum-like lesions distributed all over the body.White cheese-like plaques were found on the surface of the buccal mucosa and tongue.Histopathology of the skin biopsy demonstrated numerous intracellular yeast-like organisms.PAS stain was positive.Many spores aggregated grape-like or mulberry-like spores.The mycologic culture of cutaneous lesion revealed Penicillium marneffei growth.Penicillium marneffei and C.albicans were identificated by fungal culture of oral secretion.Anti-human immunodeficiency virus(HIV)antibody detection was positive.
Keywords:AIDS  Penicillium marneffei  Candida albicans
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