Mycobacterium avium-intracellulare and the unpredictable course of hypercalcemia in an AIDS patient.
A 37-year-old man with AIDS presented with altered mental status four weeks after stopping his medications for Mycobacterium avium-intracellulare (MAI). He had low CD4 cell count and severe hypercalcemia. Bone marrow biopsy revealed bone marrow infiltration by granulomas positive for acid-fast bacilli and cultures grew MAI. His hypercalcemia continued to worsen with the initiation of MAI therapy but we were able to treat it successfully with pamidronate and calcitonin.
University of New Mexico Health Sciences Centre, Albuquerque, NM, USA. Electronic address: hayoubieh@salud.unm.edu.
Houriya
H
Ayoubieh
University of New Mexico Health Sciences Centre, Albuquerque, NM, USA.
Eyas
E
Alkhalili
D017088:AIDS-Related Opportunistic Infections / Q000150:complications* / Q000382:microbiology; D000328:Adult; D001853:Bone Marrow / Q000382:microbiology / Q000473:pathology; D018791:CD4 Lymphocyte Count; D006801:Humans; D006934:Hypercalcemia / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000382:microbiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D015269:Mycobacterium avium Complex / Q000302:isolation & purification; D015270:Mycobacterium avium-intracellulare Infection / Q000150:complications*
AIDS; Hypercalcemia; Mycobacterium infection