Simultaneous Diagnosis of Pneumococcal Sepsis and Disseminated Mycobacterium avium Complex Infection in a Patient with Acquired Immunodeficiency Syndrome / 대한내과학회지
Korean Journal of Medicine
;
: 89-93, 2017.
Article
in Korean
| WPRIM
| ID: wpr-155822
ABSTRACT
The incidence of bacteremia in human immunodeficiency virus (HIV)-infected patients is significantly decreased by highly active antiretroviral therapy (HAART). However, bacteremia remains a major cause of morbidity and mortality in HIV-infected patients. A 43-year-old male who had fever and cough for 1 week presented to the emergency room. He was diagnosed with acquired immunodeficiency syndrome combined with atypical pneumonia and started on antibiotics plus HAART. After 3 days, Streptococcus pneumoniae was grown in blood cultures. Three weeks later, acid-fast bacilli cultures of blood and bronchoalveolar lavage fluid grew Mycobacterium avium complex (MAC); hence, the patient was treated with antimycobacterial drugs. HIV-infected patients with persistent fever despite administration of appropriate antibiotics should be examined for simultaneous infection by other organisms, such as nontuberculous mycobacteria. We report a case of simultaneous detection of MAC and S. pneumoniae in the blood of a treatment-naïve HIV-infected patient.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pneumonia
/
Streptococcus pneumoniae
/
Bronchoalveolar Lavage Fluid
/
Mycobacterium avium Complex
/
Incidence
/
Mortality
/
Acquired Immunodeficiency Syndrome
/
HIV
/
Bacteremia
/
Sepsis
Type of study:
Diagnostic study
/
Incidence study
/
Prognostic study
Limits:
Adult
/
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2017
Type:
Article
Similar
MEDLINE
...
LILACS
LIS