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
en Ko
| WPRIM
| ID: wpr-155822
Biblioteca responsable:
WPRO
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.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Neumonía
/
Streptococcus pneumoniae
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Líquido del Lavado Bronquioalveolar
/
Complejo Mycobacterium avium
/
Incidencia
/
Mortalidad
/
Síndrome de Inmunodeficiencia Adquirida
/
VIH
/
Bacteriemia
/
Sepsis
Tipo de estudio:
Diagnostic_studies
/
Incidence_studies
/
Prognostic_studies
Límite:
Adult
/
Humans
/
Male
Idioma:
Ko
Revista:
Korean Journal of Medicine
Año:
2017
Tipo del documento:
Article