1.
Intern Med
; 53(19): 2259-60, 2014.
Artigo
em Inglês
| MEDLINE
| ID: mdl-25274242
Assuntos
Diagnóstico Precoce , Aspergilose Pulmonar/diagnóstico , Tomografia Computadorizada por Raios X/métodos , Idoso , Antígenos de Fungos/análise , Aspergillus/imunologia , Aspergillus/isolamento & purificação , Líquido da Lavagem Broncoalveolar/citologia , Líquido da Lavagem Broncoalveolar/microbiologia , Broncoscopia , Diagnóstico Diferencial , Humanos , Masculino
2.
Intern Med
; 51(21): 3089-94, 2012.
Artigo
em Inglês
| MEDLINE
| ID: mdl-23124157
RESUMO
A 66-year-old man with human immunodeficiency virus (HIV) infection was admitted for treatment of Pneumocystis pneumonia. Upon admission, a tumor mass adjacent to the thoracic descending aorta was revealed on computed tomography. Histology revealed an exudative granuloma with histiocytes packed with numerous acid-fast bacilli. Mycobacterium avium was isolated from the tissue. A genetic examination of the isolates demonstrated this strain to be located in the cluster consisting of strains that cause systemic infection. The patient's baseline CD4+ cell count was 9/µL and the HIV-RNA viral load was 43,800 copies/mL. This case suggests the possibility of a localized onset of disseminated M. avium infection.