Focal tuberculous lymphadenitis in an HIV-1 infected patient.
A 41-year-old man was admitted to the hospital because of focal swelling of the left supraclavicular lymph nodes. Eighteen months prior to admission, he had been diagnosed with human immunodeficiency virus type 1 (HIV-1) infection and was started on highly active antiretroviral therapy (HAART). He responded well to HAART with an increase in CD4+ cell count and improvement in symptoms. However, one year after the initiation of HAART, he developed progressive enlargement of left supraclavicular lymph nodes. An excisional lymph node biopsy was performed for diagnosis, which revealed tuberculous lymphadenitis. Rifabutin, isoniazid, and ethambutol were initiated for treatment.
Horiba
Masahide
M
Department of Internal Medicine, National Minami-Okayama Hospital, Tsukubo-gun, Okayama.
Takeuchi
Makoto
M
Okada
Chiharu
C
Tada
Atsuhiko
A
Kawahara
Shin
S
Mishima
Yasuo
Y
Soda
Ryo
R
Yamashita
Motohiro
M
Takahashi
Kiyoshi
K
D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy*; D000328:Adult; D006801:Humans; D008297:Male; D014388:Tuberculosis, Lymph Node / Q000188:drug therapy*