Mycobacterium kansasii pericarditis as a presentation of AIDS.
Mycobacterium kansasii infection is a recognized complication of AIDS and a broad spectrum of extrapulmonary manifestations has been reported. However, AIDS-related M. kansasii pericarditis is an extremely rare disease. We report the first European case of this infection, that presented some different clinical findings to those previously described in HIV-infected individuals. M. kansasii pericarditis was the first AIDS-defining illness presented by the patient. The stained smears of pericardial fluid were negative for acid-fast bacilli and an increased level of adenosine deaminase was observed in pericardial fluid. A short course of prednisone therapy was added to antituberculous treatment, with a good clinical response.
Dept. of Infectious Diseases, Hospital Ramón y Cajal, Madrid, Spain. vpintado@hrc.insalud.es
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Pintado
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Fortún
J L
JL
Casado
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Gómez-Mampaso
D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000243:Adenosine Deaminase / Q000032:analysis; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D019909:Mycobacterium kansasii / Q000302:isolation & purification*; D010490:Pericardial Effusion / Q000201:enzymology / Q000382:microbiology; D010493:Pericarditis / Q000150:complications* / Q000188:drug therapy / Q000382:microbiology; D011241:Prednisone / Q000627:therapeutic use; D013902:Radiography, Thoracic; D013183:Sputum / Q000382:microbiology
D000995:Antitubercular Agents; D005938:Glucocorticoids; D000243:Adenosine Deaminase; D011241:Prednisone