Michael C. Bach, MD
To the editor: Studies (1, 2) have recently suggested that disseminated Mycobacterium avium-intracellulare infection in patients with the acquired immunodeficiency syndrome (AIDS) should not be treated because current therapy is of no proven value and is potentially toxic. My experience with four cases of M. avium-intracellulare in patients with AIDS suggests that a significant improvement in symptomatology can be achieved by therapy.
A 31-year-old homosexual man had fevers, sweats, and weight loss 9 months after Pneumocystis carinii pneumonia. Disseminated M. avium-intracellulare was documented by positive blood cultures as well as by increased nodal uptake of gallium-67 citrate. Treatment of the
Bach MC. Treating Disseminated Mycobacterium avium-intracellulare Infection. Ann Intern Med. ;110:169–170. doi: 10.7326/0003-4819-110-2-169
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Published: Ann Intern Med. 1989;110(2):169-170.
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