頁籤選單縮合
題 名 | Disseminated Mycobacterium Genavense Infection in a Patient with Acquired Immunodeficiency Syndrome: First Case Report in Taiwan=臺灣首例愛滋病患者合併播散性Mycobacterium Genavense感染病例報告 |
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作 者 | 顏經洲; 柯文謙; 蔡宏名; 靳應臺; 蘇益仁; | 書刊名 | 臺灣醫學會雜誌 |
卷 期 | 98:1 1999.01[民88.01] |
頁 次 | 頁62-65 |
分類號 | 415.944 |
關鍵詞 | 愛滋病合併播散性Mycobacterium genavense感染; Mycobacterium genavense; Acquired immunodeficiency syndrome; Lymphadenopathy; |
語 文 | 英文(English) |
英文摘要 | Mycobacterium genavense is a recently described fastidious mycobacterium identified as a pathogen causing disseminated infection in patients with advanced human immunodeficiency virus (HIV) disease. In this report, we describe the first reported case of disseminated M. genavense infection in a patient with acquired immunodeficiency syndrome (AIDS) in Taiwan. A 22-year-old Chinese man was found to be seropositive for HIV at age 18, in 1993. In 1997, he presented with acquired pain, weight loss, low CD4 lymphocyte count, hepatomegaly, and generalized lymphadenopathy. Microscopic examination of a biopsy specimen from an inguinal lymph node showed both ill- and well-formed noncaseating granulomas. Numerous acid-fast bacilli were present in the histiocyte cytoplasm. Although the organism did not grow on conventional solid media used in our laboratory, two molecular biology techniques, including polymerase chain reaction (PCR) followed by sequencing of 16S rRNA, and PCR together with restriction enzyme fragment polymorphism analysis, confirmed the M. genavense infection. The patient's abdominal symptoms responded well to a chemo-therapy regimen that included ethambutol, ciprofloxacin, and clarithromycin, and he survived more than 6 months after diagnosis. However, the lymphadenopathy was still present at his final follow-up. Our report indicates that disseminated infection with M. genavense should be added to the list of differential diagnoses of secondary infections in advanced AIDS patients in Taiwan, |
本系統中英文摘要資訊取自各篇刊載內容。