title: [Disseminated mycobacteriosis with M. kansasii in a case of AIDS without HIV infection].
abstract: M. kansasii is an environmental Mycobacterium that causes disease mainly in patients with local or systemic immunodeficiency. We present a case with disseminated M. kansasii infection which led to a severe febrile illness lasting for 9 months. The patient had a combined acquired immunodeficiency syndrome (AIDS) which included CD4+ and CD8+ T-lymphocytopenia, monocytopenia and a deficiency in the IgG subclasses 2 and 4. HIV testing was repeatedly negative. In the published literature only 4 of 10 similar patients (this patient included) survived a disseminated M. kansasii infection. Eleven years after the disseminated infection with M. kansasii a second opportunistic infection, disseminated mollusca contagiosa and hyperparathyroidism, developed, and 14 years later the immunologic abnormalities persist.
authors.affiliation: Pneumologische Abteilung, Kantonsspital St. Gallen.
authors.forename: A
authors.initials: A
authors.lastname: Knoblauch
authors.forename: B W
authors.initials: BW
authors.lastname: Gloor
authors.forename: R
authors.initials: R
authors.lastname: Flury
authors.forename: R L
authors.initials: RL
authors.lastname: Galeazzi
authors.forename: W
authors.initials: W
authors.lastname: Fierz
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000276:immunology / Q000628:therapy; D000995:Antitubercular Agents / Q000008:administration & dosage; D018791:CD4 Lymphocyte Count; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D007116:Immunization, Passive; D017710:Lymphocyte Transfusion; D008875:Middle Aged; D009165:Mycobacterium Infections, Nontuberculous / Q000175:diagnosis* / Q000276:immunology / Q000628:therapy
chemical_list: D000995:Antitubercular Agents