Peritonitis due to Mycobacterium avium complex in patients with AIDS: report of five cases and review of the literature

被引：16

作者：

Wu, Un-In ^{[1
,2
]}

Chen, Mao-Yuan ^{[1
,2
]}

Hu, Ruey-Heng ^{[2
,3
]}

Hsieh, Szu-Min ^{[1
,2
]}

Sheng, Wang-Huei ^{[1
,2
]}

Lo, Yi-Chun ^{[1
,2
]}

Hung, Chien-Ching ^{[1
,2
]}

Chang, Shan-Chwen ^{[1
,2
]}

机构：

[1] Natl Taiwan Univ Hosp, Dept Internal Med, Taipei 100, Taiwan

[2] Natl Taiwan Univ, Coll Med, Taipei 100, Taiwan

[3] Natl Taiwan Univ Hosp, Dept Surg, Taipei 100, Taiwan

来源：

INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES | 2009年 / 13卷 / 02期

关键词：

Mycobacterium avium complex; Peritonitis; AIDS; Non-tuberculous mycobacteria; Intra-abdominal infection; RECONSTITUTION INFLAMMATORY SYNDROME; ACTIVE ANTIRETROVIRAL THERAPY; CHYLOUS ASCITES; INTRACELLULARE; BACTEREMIA; INFECTION;

D O I：

10.1016/j.ijid.2008.07.016

中图分类号：

R51 [传染病];

学科分类号：

100401 ;

摘要：

Background: Mycobacterium avium complex (MAC) often causes disseminated infection in patients at an advanced stage of HIV infection; however, peritonitis associated with disseminated MAC infection is rare. Methods: In this report, we describe five cases of MAC peritonitis in AIDS patients at our hospital, and analyze these cases alongside 11 previously published cases found in the literature. Results: Most of the AIDS patients with MAC peritonitis had CD4 counts of <50 cetts/mu l and elevated alkaline phosphatase levels. Other than ascites, MAC was also isolated from other sterile and non-sterile sites. Of note, six patients (37.5%) presented with chylous ascites. Conclusions: Despite therapy, MAC peritonitis is associated with a grave outcome. (c) 2008 International Society for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

引用

页码：285 / 290

页数：6

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