A Case of Human-Immunodeficiency Virus Infection Related Mycobacterium tuberculosis with Atypical Clinicl Features.
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概要
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Increasing rates of human immunodeficiency virus (HIV) related tuberculosis have been noted and recently the clinical importance of the disease has been mentioned. The diagnosis of tuberculosis is more difficult in those patients with HIV seropositive than those with seronegative, because those with seropositive have atypical clinical features<BR>A 29-year-old male, who was infected with HIV heterosexally in Central Africa in 1986, was admitted to our hospital with a history of general malaise and weight loss in April, 1989. Laboratory and physical examinations revealed anemia, thrombocytepenia, the elevation of LDH, and giant intraabdominal lymphadenopathies, suspecting malignant lymphoma.<I>Mycobacterium</I>was isolated from the sputa in April and was confirmed as<I>M. tuberculosis</I>using a DNA probe in May, 1989. Clinical symptoms including giant lymphoadenopathies and laboratory abnomalities improved with antituberculosis therapy. Development of a rapid method for the diagnosis of tuberculosis was warranted in this case.
- The Japanese Association for Infectious Diseasesの論文
The Japanese Association for Infectious Diseases | 論文
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