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作者首次描述了爱滋病患者由化脓性链球菌引起的严重脓疮和菌血症的病例。患者男性36岁,有同性恋史,1984年10月来诊治下肢溃疡性损伤,体检有鹅口疮。1985年1月再诊主诉进行性呼吸困难6周,间竭腹泻、乏力和食欲不振,伴体重下降23公斤。体检发现呼吸窘迫、慢性恶液质,体温37℃,血压90/60mmHg,呼吸36次/分,脉博160次/分,在下肢和背部有许多直径为1～1.5厘米的浅表溃疡。其它检查:红细胞压积30％,白细胞11000/mm~3,内含中性80％,杆状3％,淋巴10％,单核4％,动脉氧压41mmHg,粪便中无
For the first time, the authors describe cases of severe abscesses and bacteremia in AIDS patients caused by Streptococcus pyogenes. Male 36-year-old patient with a history of homosexuality, October 1984 to treat ulcer injury lower limbs, physical examination with thrush. January 1985 re-complained chief complaint of progressive dyspnea for 6 weeks, exhaustive diarrhea, fatigue and loss of appetite, with weight loss 23 kg. Physical examination revealed respiratory distress, chronic cachexia, body temperature 37 ℃, blood pressure 90 / 60mmHg, breathing 36 beats / min, pulse Bo 160 beats / min, in the lower extremities and the back of many superficial ulcers 1 to 1.5 cm in diameter. Other tests: hematocrit 30%, white blood cells 11000 / mm ~ 3, containing 80% neutral, rod 3%, lymphatic 10%, mononuclear 4%, arterial oxygen pressure 41mmHg, no