Respiratory failure and acalculous cholecystitis in a patient with AIDS and disseminated tuberculosis: masking effect of fluoroquinolone monotherapy and immune restoration syndrome.
The clinical presentation of Mycobacterium tuberculosis infection varies in patients with AIDS. We report a case of disseminated tuberculosis in an AIDS patient. The initial manifestation was masked by fluoroquinolone monotherapy, and subsequently complicated by acalculous cholecystitis and immune restoration syndrome after antiretroviral therapy.
Chen
Po-Lin
PL
Division of Infectious Diseases, National Cheng Kung University Hospital, Tainan, Taiwan. cplin@mail.ncku.edu.tw
Lee
Hsin-Chun
HC
Shan
Yan-Shen
YS
Ko
Nai-Ying
NY
Lee
Nan-Yao
NY
Chang
Chia-Ming
CM
Wu
Chi-Jung
CJ
Lee
Ching-Chi
CC
Ko
Wen-Chien
WC
D042101:Acalculous Cholecystitis / Q000175:diagnosis*; D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D018450:Disease Progression; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D009169:Mycobacterium tuberculosis / Q000302:isolation & purification; D012367:RNA, Viral / Q000097:blood; D013902:Radiography, Thoracic; D012131:Respiratory Insufficiency / Q000175:diagnosis*; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D019562:Viral Load
D000995:Antitubercular Agents; D012367:RNA, Viral