Mycobacterium avium Complex Peritonitis in an Acquired Immune Deficiency Syndrome Patient.
10.3904/kjm.2016.91.2.237
- Author:
Hyejin JUNG
1
;
Yoon Jung KIM
;
Seunghwan SHIN
;
Sang Ah LEE
;
Min Jung KIM
;
Hyun Ha CHANG
;
Shin Woo KIM
Author Information
1. Department of Internal Medicine, Kyungpook National University School of Medicine, Daegu, Korea. changhha@knu.ac.kr
- Publication Type:Case Report
- Keywords:
Mycobacterium avium complex;
HIV;
AIDS;
Peritonitis
- MeSH:
Acquired Immunodeficiency Syndrome*;
Adult;
Ascites;
Ascitic Fluid;
Cell Count;
Clarithromycin;
Ethambutol;
Female;
HIV;
Humans;
Korea;
Lymphatic Diseases;
Mycobacterium avium Complex*;
Mycobacterium avium*;
Mycobacterium*;
Peritonitis;
Rifabutin;
Splenomegaly;
Tomography, X-Ray Computed
- From:Korean Journal of Medicine
2016;91(2):237-240
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Mycobacterium avium complex (MAC) is an opportunistic bacterium that primarily infects acquired immune deficiency syndrome (AIDS) patients with low CD4+ T cell counts; however, peritonitis caused by MAC in AIDS patients is rare. Here, we report the first case of peritonitis caused by MAC in AIDS patients in Korea. A 41-year-old female with poor adherence to antiretroviral therapy was admitted to hospital with nonspecific symptoms; an abdominal computed tomography (CT) scan revealed substantial ascites, splenomegaly, and lymphadenopathy. Based on the CT scan and ascitic fluid cultures, MAC peritonitis was diagnosed. In addition to antiretroviral therapy, clarithromycin, rifabutin, and ethambutol were administered to treat the MAC infection, and the patient's symptoms improved.
