Mycobacterium avium-intracellulare and the unpredictable course of hypercalcemia in an AIDS patient
Abstract 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.
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Main Authors: | , |
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Format: | Digital revista |
Language: | English |
Published: |
Brazilian Society of Infectious Diseases
2017
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Online Access: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702017000100116 |
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Summary: | Abstract 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. |
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