title: Pericardial effusion with Mycobacterium avium complex in HIV-infected patients.
abstract: Disseminated atypical Mycobacterium infection is a well-known opportunistic infection in HIV-infected patients with advanced immune deficiency before the introduction of combination antiretroviral therapy. Although the disseminated infection is now rare, few cases of localised infections are reported. A 38-year-old man was diagnosed with HIV infection during asymptomatic sexual health screening. Although he was asymptomatic on diagnosis, he had advanced immunodeficiency; therefore, combination antiretroviral therapy was started immediately. After 5 months of treatment, he developed pericardial effusion. Mycobacterium was detected from a culture of the pericardial fluid and Mycobacterium avium complex was identified using a gene probe test. He was treated with combination therapy for Mycobacterium infection and he fully recovered. Treatment continued for 4 years until he achieved adequate immune recovery.
authors.affiliation: Department of GUM, East Lancashire Hospitals NHS Trust, Burnley, UK.
authors.forename: Thajunnisha
authors.initials: T
authors.lastname: Mohamed Buhary
authors.affiliation: Department of GUM, East Lancashire Hospitals NHS Trust, Burnley, UK.
authors.forename: Sedki Latif
authors.initials: SL
authors.lastname: Gayed
authors.affiliation: Department of General Medicine, East Lancashire Hospitals NHS Trust, Blackburn, UK.
authors.forename: Irfan
authors.initials: I
authors.lastname: Hafeez
mesh_terms: D017088:AIDS-Related Opportunistic Infections / Q000150:complications*; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D015658:HIV Infections / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D008297:Male; D015269:Mycobacterium avium Complex; D015270:Mycobacterium avium-intracellulare Infection / Q000150:complications*; D010490:Pericardial Effusion / Q000150:complications*