Nodal radiotherapy in refractory tuberculosis in an AIDS patients
Arch. med. res
;
27(1): 93-5, 1996. ilus
Article
Dans Anglais
| LILACS
| ID: lil-200298
ABSTRACT
A 25-year-old female with transfusion-associated acquired immunodeficiency syndrome (AIDS) treated with zidovudine (AZT) developed cervical lymph node enlargement. The histological study disclosed granulomas and the culture revealed M. tuberculosis. The patient was treated with isoniazid, rifampicin and pirazynamide and the lymphadenomegaly resolved. Five years later, with a CD4 cell count of 245, the lymph node enlargement reappeared, the biopsy and special studies confirming tuberculosis (TB). She was then given cirpofloxacin, azithromicin, ethambutol, amikacin and pirazyn amide without success. In two instances the enlarged nodes were surgically removed. Facing progressive osbtruction of both the airway and the esophagus, localized radiotheraphy (1800 cGy in nine fractions) to the right aspect of the neck was delivered with dramatic resolution of the node elargement; however, dissemination of the infection leading to a severe lung infiltration and respiratory failure ended the life of the patient
Recherche sur Google
Indice:
LILAS (Amériques)
Sujet Principal:
Pyrazinamide
/
Radiothérapie
/
Amikacine
/
Anticorps anti-VIH
/
Lymphocytes T CD4/
/
Zidovudine
/
Ciprofloxacine
/
Technique de Western
/
Syndrome d'immunodéficience acquise
/
Tuberculose multirésistante
Limites du sujet:
Adulte
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Arch. med. res
Thème du journal:
Médicament
Année:
1996
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS