Ockham's razor is not so sharp

被引：1

作者：

Lewis, Mark A. ^{[1
]}

Agusala, Kartik ^{[1
]}

Raizen, Yuval ^{[1
]}

机构：

[1] Baylor Coll Med, Dept Internal Med, Houston, TX 77030 USA

来源：

INFECTIOUS DISEASE REPORTS | 2010年 / 2卷 / 02期

关键词：

Cavitary pneumonia; Rhodococcus equi; Pneumocystis jirovecii; Toxoplasma gondii;

D O I：

10.4081/idr.2010.e10

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

A 39-year-old male with newly diagnosed HIV had cavitary pneumonia initially attributed to Pneumocystis jirovecii but actually caused by Rhodococcus equi. After neurological deterioration, he was found to have intracerebral lesions caused by Toxoplasma gondii. This case underscores the inability to rely on the search for a unifying diagnosis (Ockham's Razor) in HIV-infected patients.

引用

页码：30 / 32

页数：3

共 20 条

[1] Cavitary lung disease in AIDS: Etiologies and correlation with immune status [J].

Aviram, G ;

Fishman, JE ;

Sagar, M .

AIDS PATIENT CARE AND STDS, 2001, 15 (07) :353-361

[2] A 38-year-old man with the acquired immunodeficiency syndrome and cavitary pulmonary lesions - Granulomatous Pneumocystis carinii pneumonia with cavitation. AIDS. [J].

Boswell, SL ;

vanGorder, M ;

McLoud, TC ;

Hodges, M .

NEW ENGLAND JOURNAL OF MEDICINE, 1997, 337 (09) :619-627

[3] Brevibacterium casei sepsis in an 18-year-old female with AIDS [J].

Brazzola, P ;

Zbinden, R ;

Rudin, C ;

Schaad, UB ;

Heininger, U .

JOURNAL OF CLINICAL MICROBIOLOGY, 2000, 38 (09) :3513-3514

[4]

Crans CA, 1999, CRIT REV DIAGN IMAG, V40, P251

[5] Benefit of antiretroviral therapy on survival of human immunodeficiency virus-infected patients admitted to an intensive care unit [J].

Croda, Julio ;

Croda, Mariana Garcia ;

Neves, Alan ;

dos Santos, Sigrid De Sousa .

CRITICAL CARE MEDICINE, 2009, 37 (05) :1605-1611

[6]

Fujii Takeshi, 2007, Journal of Infection and Chemotherapy, V13, P1, DOI 10.1007/s10156-006-0484-5

[7] Cavitary pulmonary lesions in patients infected with human immunodeficiency virus [J].

Gallant, JE ;

Ko, AH .

CLINICAL INFECTIOUS DISEASES, 1996, 22 (04) :671-682

[8] Brevibacterium casei bacteremia and line sepsis in a patient with AIDS [J].

Janda, WM ;

Tipirneni, P ;

Novak, RM .

JOURNAL OF INFECTION, 2003, 46 (01) :61-64

[9] Photo quiz -: A 40-year-old man with cough and fever -: Rhodococcus equi infection [J].

Koya, Supriya ;

Patel, Urvi ;

Pinkston, Glen R. ;

Rodriguez, Martin .

CLINICAL INFECTIOUS DISEASES, 2007, 44 (11) :1460-+

[10] PNEUMOCYSTIS-CARINII PNEUMONIA - SPECTRUM OF PARENCHYMAL CT FINDINGS [J].

KUHLMAN, JE ;

KAVURU, M ;

FISHMAN, EK ;

SIEGELMAN, SS .

RADIOLOGY, 1990, 175 (03) :711-714

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