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에이즈 환자에서 발생한 폐렴사슬알균 균혈증, 파종성 조류형 결핵균 동시 감염 1예

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Author(s)
노창인현미리이지연김현아류성열
Keimyung Author(s)
Ryu, Seong YeolKim, Hyun Ah
Department
Dept. of Internal Medicine (내과학)
Journal Title
대한내과학회지
Issued Date
2017
Volume
92
Issue
1
Keyword
Acquired immunodeficiency syndromeMycobacterium avium complexStreptococcus pneumoniae
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.
Alternative Title
Simultaneous Diagnosis of Pneumococcal Sepsis and Disseminated Mycobacterium avium Complex Infection in a Patient with Acquired Immunodeficiency Syndrome
Keimyung Author(s)(Kor)
류성열
김현아
Publisher
School of Medicine
Citation
노창인 et al. (2017). 에이즈 환자에서 발생한 폐렴사슬알균 균혈증, 파종성 조류형 결핵균 동시 감염 1예. 대한내과학회지, 92(1), 89–93. doi: 10.3904/kjm.2017.92.1.89
Type
Article
ISSN
1226-329X
DOI
10.3904/kjm.2017.92.1.89
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32611
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Internal Medicine (내과학)
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