已知志贺氏菌是男性同性恋者腹泻的一个重要病原。最近,作者报告了1例人免疫缺陷病毒(HIV)血清学阳性患者由于弗氏志贺氏菌引起的反复复发的有症状感染,结果该患者发展为艾滋病。1986年10月这例39岁男性同性恋者首次检出HIV抗体。2个月后,该患者出现发热、腹痛和水泻。2次粪便培养都有对氨苄青霉素耐药的1b型弗氏志贺氏菌生长。经治疗症状改善,并清除肠道病 Shigella is known to be an important cause of diarrhea in gay men. Recently, the authors reported a recurrent symptomatic infection in one immunodeficiency virus (HIV) seropositive patient caused by Shigella flexneri, which resulted in the patient developing AIDS. In October 1986, 39-year-old male homosexuals first detected HIV antibodies. Two months later, the patient developed fever, abdominal pain and watery diarrhea. Both fecal cultures had ampicillin-resistant growth of Shigella flexneri type 1b. After the treatment of symptoms, and clear intestinal disease