ABSTRACT
Idopathic pulmonary artery aneurysm (PAA) is a rare lesion. Clinical experience with this condition is limited and current knowledge is mainly derived from autopsy findings. We report a patient who came to us with complaints of chest pain, breathlessness on exertion and pedal oedema and was diagnosed to have PAA.
Subject(s)
Adrenergic beta-Antagonists/therapeutic use , /diagnosis , Diagnosis, Differential , Diuretics/therapeutic use , Echocardiography , Follow-Up Studies , Humans , Male , Middle Aged , Myocardial Ischemia/diagnosis , Myocardial Ischemia/drug therapy , Pulmonary Artery/diagnostic imaging , Pulmonary Artery/diagnostic imaging , Tomography, X-Ray Computed , Treatment Outcome , Treatment RefusalABSTRACT
Summary: Opportunistic infections are common complications of advanced immuno-deficiency in individuals with Human Immunodeficiency Virus (HIV) infection. Following involvement of the lung, the central nervous system (CNS) is the second most commonly affected organ. We report two cases of concurrent cryptococcal meningitis and tuberculosis (TB) in HIV infected persons. A high suspicion of multiple opportunistic infections should be kept in mind in HIV seropositive individuals.
Subject(s)
AIDS-Related Opportunistic Infections/drug therapy , AIDS-Related Opportunistic Infections/microbiology , AIDS-Related Opportunistic Infections/physiopathology , Adult , Anti-Retroviral Agents/administration & dosage , Antifungal Agents/administration & dosage , Antitubercular Agents/administration & dosage , Coinfection , Cryptococcus neoformans/isolation & purification , HIV Infections/complications , HIV Infections/drug therapy , Humans , Male , Meningitis, Cryptococcal/complications , Meningitis, Cryptococcal/drug therapy , Meningitis, Cryptococcal/physiopathology , Treatment Outcome , Tuberculosis, Pulmonary/drug therapy , Tuberculosis, Pulmonary/diagnostic imagingABSTRACT
Summary: Tuberculosis (TB) is a disease as old as mankind, whereas in India the first case of Human Immunodeficiency Virus (HIV) was reported in 1986. HIV and TB are so closely connected that their relationship is often described as a coepidemic. Aspergilloma (Fungal Ball, Mycetoma) represents a saprophytic growth of aspergillus that colonizes in the preformed cavities commonly due to pulmonary tuberculosis (PTB). We report a case of HIV, active pulmonary tuberculosis and aspergilloma occurring in the same patient. Despite our best efforts, we could not lay our hands on any similar case in the medical literature.