Mycobacterium avium-intracellulare and the unpredictable course of hypercalcemia in an AIDS patient

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 bacil...

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Bibliographic Details
Main Authors: Houriya Ayoubieh, Eyas Alkhalili
Format: Article
Language:English
Published: Elsevier 2017-01-01
Series:Brazilian Journal of Infectious Diseases
Online Access:http://www.sciencedirect.com/science/article/pii/S1413867016301672
Description
Summary: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. Keywords: Hypercalcemia, AIDS, Mycobacterium infection
ISSN:1413-8670