[申覆]醫學一 50題
50.下列何者是常見於發生在後期愛滋病患者,尤其是該患者CD4+的T lymphocyte數目少
於 10 cells/mm3時的分枝桿菌(Mycobacterium)感染?
(A)M. leprae
(B)M. avium complex
(C)M. bovis
(D)M. kansasii
答案給B,但C應該也對
Harrison's Principles of Internal Medicine/17ed/2008/ P1173有寫到:
Atypical mycobacterial infections are also seen with an increased frequency
in patients
with HIV infection. Infections with at least 12 different mycobacteria have
been reported,
including M. bovis and representatives of all four Runyon groups. The most
common atypical mycobacterial infection is with M. avium or M.
intracellulare species—MAC. 但題目沒有說"最"常見,所以應該(C)也對吧!
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