- 期刊
Pulmonary Kaposi Sarcoma Associated with Immune Reconstitution Inflammatory Syndrome after Treatment for Pneumocystis Jiroveci Pneumonia and HIV Infection - A Case Report
治療愛滋病及肺囊蟲肺炎後出現與免疫重建發炎症候群相關的肺部卡波西氏肉瘤－病例報告
摘要
Rapidly progressive Kaposi sarcoma (KS) may occur after treatment of HIV infection, despite an increased CD4+ lymphocyte count. KS is associated with immune reconstitution inflammatory syndrome. Steroid treatment was also reported to increase the risk of KS. Pulmonary KS is associated with a high mortality rate if it is not diagnosed and treated correctly. We reported the case of a patient who developed pulmonary and skin KS 2 months after treatment of HIV infection and Pneumocystis jiroveci pneumonia. Pulmonary KS led to respiratory failure in this patient and was successfully treated with chemotherapy.
並列摘要
治療愛滋病毒感染之後，即使CD4淋巴球在治療後有明顯上升。卡波西氏肉瘤可能會發生快速進展。這樣的進展，跟免疫重建發炎症候群（Immune reconstitution inflammatory syndrome, IRIS）有關。另外，類固醇也認為可能增加卡波西氏肉瘤的發生。肺部的卡波西氏肉瘤，若是沒有正確的診斷及治療，會有很高的死亡率。我們在此報告了一個在治療愛滋病毒感染及使用類固醇治療肺囊蟲肺炎二個月後，肺部及皮膚出現卡波西氏肉瘤的病例。這個病例，肺部的卡波西氏肉瘤導致了呼吸衰竭，並且成功得使用化學治療改善病人的症狀。
延伸閱讀
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