Infect Chemother.
2003 Oct;35(5):306-309.
Mycobacterium Avium-intracellularae Meningoencephalitis in a Patient with Acquired Immunodeficiency Syndrome
- Affiliations
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- 1Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. choekw@snu.ac.kr
Abstract
- We report a case of Mycobacterium avium-intracellularae meningoencephalitis found in a 31-year- old patient with AIDS and preexisting disseminated Mycobacterium avium-intracellularae infection. He had been taking highly active antiretroviral therapy and antimycobacterial medications when he developed generalized tonic-clonic seizure. Repeated workups including blood and cerebrospinal fluid examinations and magnetic resonance image (MRI) of the brain revealed nondiagnostic. The diagnosis was made by stereotactic brain biopsy of the nodule, which was detected 9 month after the first seizure attack in brain MRI. Acid-fast bacilli were observed on microscopic exam. Mycobacterium avium-intracellularae was isolated from the biopsy specimen.
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