Résumé
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.
Sujets)
Antagonistes bêta-adrénergiques/usage thérapeutique , /diagnostic , Diagnostic différentiel , Diurétiques/usage thérapeutique , Échocardiographie , Études de suivi , Humains , Mâle , Adulte d'âge moyen , Ischémie myocardique/diagnostic , Ischémie myocardique/traitement médicamenteux , Artère pulmonaire/imagerie diagnostique , Artère pulmonaire/imagerie diagnostique , Tomodensitométrie , Résultat thérapeutique , Refus du traitementRésumé
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.
Sujets)
Infections opportunistes liées au SIDA/traitement médicamenteux , Infections opportunistes liées au SIDA/microbiologie , Infections opportunistes liées au SIDA/physiopathologie , Adulte , Antirétroviraux/administration et posologie , Antifongiques/administration et posologie , Antituberculeux/administration et posologie , Co-infection , Cryptococcus neoformans/isolement et purification , Infections à VIH/complications , Infections à VIH/traitement médicamenteux , Humains , Mâle , Méningite cryptococcique/complications , Méningite cryptococcique/traitement médicamenteux , Méningite cryptococcique/physiopathologie , Résultat thérapeutique , Tuberculose pulmonaire/traitement médicamenteux , Tuberculose pulmonaire/imagerie diagnostiqueRésumé
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.