Skip Navigation
Menu
Letters |1 March 1993

Central Nervous System Infection with Mycobacterium kansasii

Gary A. Bergen, MD; Bienvenido G. Yangco, MD; Harold A. Adelman, MD

FULL TEXT
TO THE EDITOR:
Atypical mycobacterial infections occur in at least 50% of patients with the acquired immunodeficiency syndrome (AIDS). We present the first reported case of a central nervous system (CNS) tuberculoma and meningitis caused by disseminated Mycobacterium kansasii.
A 42-year-old homosexual white man with AIDS presented with frontal headaches for 2 weeks; confusion and intermittent fever for 1 week; and loss of balance and falling for 1 day. The patient was receiving zidovudine, 600 mg/d. Past medical history included Kaposi sarcoma and Pneumocystis carinii pneumonia.
Physical examination showed thrush, bilateral cervical adenopathy, and Kaposi sarcoma on the chest and back. The blood leukocyte count was 2600 × 109/L with 40% lymphocytes. The absolute CD4 count was 92 × 109/L. Cerebrospinal fluid protein was 690 mg/L, the cerebrospinal fluid leukocyte count was 0 cells/mL, and glucose was normal. Cerebrospinal fluid stains and antigens were negative. Empiric antimicrobials were started while cultures incubated. The purified protein derivative test and control were negative. The chest roentgenogram was normal.
FULL TEXT
PDF
Not Available
Citations
Citation

Bergen GA, Yangco BG, Adelman HA. Central Nervous System Infection with Mycobacterium kansasii. Ann Intern Med. ;118:396. doi: 10.7326/0003-4819-118-5-199303010-00022

Download citation file:

© 2019

×
Permissions

Published: Ann Intern Med. 1993;118(5):396.

DOI: 10.7326/0003-4819-118-5-199303010-00022

12 Citations
CONTINUE WITH LIMITED ACCESS
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
acp link acp
silverchair link silverchair

Copyright © 2019 American College of Physicians. All Rights Reserved.

Print ISSN: 0003-4819 | Online ISSN: 1539-3704

Privacy Policy

|

Conditions of Use

This site uses cookies. By continuing to use our website, you are agreeing to our privacy policy. | Accept
×

You need a subscription to this content to use this feature.

×
PDF Downloads Require Access to the Full Article.
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×
Access to this Free Content Requires Users to be Registered and Logged In. Please Choose One of the Following Options
Annals of Internal Medicine
To receive access to the full text of freely available articles, alerts, and more. You will be directed to acponline.org to complete your registration.
×