Respiratory failure and acalculous cholecystitis in a patient with AIDS and disseminated tuberculosis: masking effect of fluoroquinolone monotherapy and immune restoration syndrome

Po-Lin Chen; Hsin-Chun Lee; Yan-Shen Shan; Nai-Ying Ko; Nan-Yao Lee; Chia-Ming Chang; Chi-Jung Wu; Ching-Chi Lee; Wen-Chien Ko

doi:10.1016/j.ijid.2008.09.003

Respiratory failure and acalculous cholecystitis in a patient with AIDS and disseminated tuberculosis: masking effect of fluoroquinolone monotherapy and immune restoration syndrome

Int J Infect Dis. 2009 Jul;13(4):e165-8. doi: 10.1016/j.ijid.2008.09.003. Epub 2008 Nov 12.

Authors

Po-Lin Chen¹, Hsin-Chun Lee, Yan-Shen Shan, Nai-Ying Ko, Nan-Yao Lee, Chia-Ming Chang, Chi-Jung Wu, Ching-Chi Lee, Wen-Chien Ko

Affiliation

¹ Division of Infectious Diseases, National Cheng Kung University Hospital, Tainan, Taiwan. [email protected]

PMID: 19008140
DOI: 10.1016/j.ijid.2008.09.003

Abstract

The clinical presentation of Mycobacterium tuberculosis infection varies in patients with AIDS. We report a case of disseminated tuberculosis in an AIDS patient. The initial manifestation was masked by fluoroquinolone monotherapy, and subsequently complicated by acalculous cholecystitis and immune restoration syndrome after antiretroviral therapy.

Publication types

Case Reports

MeSH terms

Acalculous Cholecystitis / diagnosis*
Acquired Immunodeficiency Syndrome / complications*
Adult
Antitubercular Agents / therapeutic use
Disease Progression
Homosexuality, Male
Humans
Male
Mycobacterium tuberculosis / isolation & purification
RNA, Viral / blood
Radiography, Thoracic
Respiratory Insufficiency / diagnosis*
Tuberculosis, Pulmonary / complications*
Tuberculosis, Pulmonary / diagnostic imaging
Tuberculosis, Pulmonary / drug therapy
Viral Load

Substances

Antitubercular Agents
RNA, Viral