Successful treatment of chylous ascites secondary to Mycobacterium avium complex in a patient with the acquired immune deficiency syndrome.
Chylous ascites is a rare form of ascites, the presence of which generally denotes a very poor long term prognosis. We report the case of a patient with acquired immune deficiency syndrome (AIDS) and massive chylous ascites secondary to Mycobacterium avium complex (MAC) infection, identified in the ascitic fluid by a DNA probe assay. With multidrug anti-MAC therapy the ascites resolved completely, and the patient has survived for >21 months. Diagnosis and treatment of MAC-related chylous ascites are reviewed.
Keaveny
A P
AP
Department of Medicine, Boston Medical Center and Boston University School of Medicine, Massachusetts 02118, USA.
Karasik
M S
MS
Farber
H W
HW
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002915:Chylous Ascites / Q000000981:diagnostic imaging / Q000209:etiology*; D004359:Drug Therapy, Combination; D006801:Humans; D008297:Male; D015269:Mycobacterium avium Complex; D015270:Mycobacterium avium-intracellulare Infection / Q000150:complications*; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents