scholarly journals A Case Report of Mycobacterium Avium Complex Peritonitis in an AIDS Patient

2013 ◽  
Vol 2013 ◽  
pp. 1-2 ◽  
Author(s):  
Yihenew Negatu ◽  
Eyasu Mekonen

Peritonitis due to Mycobacterium avium complex (MAC) infection is uncommon. The risk for MAC in AIDS patients is greatest in those with severely depressed CD4 count. The organs most commonly involved in disseminated MAC infection include spleen, mesenteric lymph nodes, liver, and intestines. The involvement of peritoneum by MAC infection is rare. This is a case of MAC peritonitis in a 26-year-old female AIDS patient who is noncompliant to highly active antiretroviral therapy (HAART). This patient presented with abdominal pain and distension, anorexia, diarrhea, and cough. She was treated with rifabutin, clarithromycin, and ethambutol along with atovaquone for Pneumocystis jiroveci pneumonia prophylaxis and so the patient’s condition improved. MAC peritonitis should be considered in a patient presenting with nonspecific abdominal symptoms in the setting of AIDS and low CD4 count.

CHEST Journal ◽  
2019 ◽  
Vol 156 (4) ◽  
pp. A619
Author(s):  
Anuhya Alapati ◽  
Laura Yapor ◽  
Jeirym Miranda ◽  
Oyesalewa Sosanya ◽  
Muhammad Adrish

2017 ◽  
Vol 9 (2) ◽  
Author(s):  
Nurul I. Hariadi ◽  
R. Alexander Blackwood

<em>Mycobacterium avium complex</em> (MAC) is the most frequent nontuberculous mycobacteria implicated in opportunistic infections that define acquired immunodeficiency syndrome. With highly active antiretroviral therapy, disseminated MAC (dMAC) has become a rare entity. This unique case of dMAC was diagnosed in an adolescent with newly diagnosed perinatally- acquired HIV infection whose initial CD4 cell count was severely depleted and viral load was extremely high. While maximized treatment regimen had not been able to control his dMAC, improvement was noted when granulocyte macrophage colony-stimulating factor (GM-CSF) was added. GM-CSF should be considered as an adjunctive therapy in patients with refractory dMAC.


2019 ◽  
Vol 54 (2) ◽  
pp. 191-194
Author(s):  
Mohammad-Ali Shaikh ◽  
Lisa F. Bennett ◽  
Melissa L. Kirkwood

Aortic graft infections are uncommon complications after endovascular aortic surgery. In the majority of cases, gram-positive and then gram-negative organisms are the causative agents leading to this condition. Atypical organisms are traditionally not responsible for graft infection unless the patient is immunocompromised. We are reporting a case of culture-confirmed mycobacterium avium complex infection of an aortic graft in a well-controlled patient with HIV who had an undetected viral load and a CD4 count of 324 while on highly active antiretroviral therapy.


2007 ◽  
Vol 49 (4) ◽  
pp. 267-270 ◽  
Author(s):  
Marcelo Corti ◽  
María F. Villafañe ◽  
Marta Ambroggi ◽  
Mirna Sawicki ◽  
Elisa Gancedo

Immune reconstitution inflammatory syndrome (IRIS) is an atypical and unexpected reaction related to highly active antiretroviral therapy (HAART) in human immunodeficiency virus (HIV) infected patients. IRIS includes an atypical response to an opportunistic pathogen (generally Mycobacterium tuberculosis, Mycobacterium avium complex, cytomegalovirus and herpes varicella-zoster), in patients responding to HAART with a reduction of plasma viral load and evidence of immune restoration based on increase of CD4+ T-cell count. We reported a case of a patient with AIDS which, after a first failure of HAART, developed a subcutaneous abscess and supraclavicular lymphadenitis as an expression of IRIS due to Mycobacterium avium complex after starting a second scheme of HAART.


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