PASCAL J. DE CAPRARIIS, M.D.; JOSÉ A. GIRÓN, M.D.; JUDITH A. GOLDSTEIN, M.D.; VINCENT J. LABOMBARDI, Ph.D.; JOSEPH J. GUARNERI, Ph.D.; HILDA LAUFER, M.D.
To the editor: A 30-year-old Haitian man with the acquired immunodeficiency syndrome was diagnosed as having disseminated Mycobacterium avium-intracellulare infection from an antemortem right inguinal lymph node biopsy (positive acid-fast smear and cultures) and a liver biopsy (negative acid-fast smear but positive cultures). After 4 months of therapy (rifampin, pyrazinamide, isoniazid, and streptomycin; rifampin, pyrazinamide, isoniazid, ethambutol, and ethionamide; ansamycin [LM-427], pyrazinamide, isoniazid, and ethambutol, he died from pneumonia. A postmortem lung histologic sample had Cowdry type A inclusion bodies, hyphae consistent with phycomycetes and a polymorphonuclear exudate filling the pulomonary lobules. The autopsy further showed the extent of the
PASCAL J. DE CAPRARIIS, JOSÉ A. GIRÓN, JUDITH A. GOLDSTEIN, VINCENT J. LABOMBARDI, JOSEPH J. GUARNERI, HILDA LAUFER. Mycobacterium avium-intracellulare Infection and Possibly Venereal Transmission. Ann Intern Med. 1984;101:721. doi: 10.7326/0003-4819-101-5-721_1
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Published: Ann Intern Med. 1984;101(5):721.
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