Peritonitis Due to Mycobacterium Avium Complex in Patients with Aids: Report of Five Cases and Review of the Literature
- 胡婉妍
- WU, UN-IN
DOIAbstract
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 ou...
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