Title
Infection by the mycobacterium avium-intracellulare complex in patients with HIV/AIDS in a Peruvian hospital: A series of cases
Other title
[Infección por el complejo Mycobacterium avium-intracellulare en pacientes con VIH/SIDA en un hospital Peruano: Una serie de casos]
Date Issued
01 April 2017
Access level
open access
Resource Type
journal article
Publisher(s)
Instituto Nacional de Salud
Abstract
There is little information on the presence of the Mycobacterium avium-Intracellulare (MAC) complex in Peru. Five cases of MAC infection are described in patients with HIV/AIDS at the National Hospital Dos de Mayo, Lima – Peru. The patients presented, mainly, persistent fever, chronic diarrhea, consumptive syndrome, pancytopenia and citofagocitosis. In all of them, resistant acid-alcohol bacilli were identified in feces, so they received antituberculous treatment. The culture of feces was negative for Mycobacterium tuberculosis and, later, in all cases MAC was identified using a molecular test (genotype) in the culture of feces. Three patients received treatment for MAC right after identification; however, they all died. Before presentations similar to the reported, we suggest the use of higher performance methods (blood culture, myeloculture, molecular tests), as well as early associating drugs with activity for MAC to antitubercular scheme with the intention of improving the prognosis of this group of patients.
Start page
323
End page
327
Volume
34
Issue
2
Language
Spanish
OCDE Knowledge area
Enfermedades infecciosas
Scopus EID
2-s2.0-85028973060
PubMed ID
Source
Revista Peruana de Medicina Experimental y Salud Publica
ISSN of the container
17264634
Sources of information: Directorio de Producción Científica Scopus