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KMID : 0984720030350050306
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Infection and Chemotherapy
2003 Volume.35 No. 5 p.306 ~ p.309
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Mycobacterium Avium-intracellularae Meningoencephalitis in a Patient with Acquired Immunodeficiency Syndrome
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Lee Ki-Deok
Park Wan-Beom
Jung Hye-Seung
Kang Cheol-In
Kim Dong-Min
Kim Hong-Bin
Oh Myoung-Don
Choe Kang-Won
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Abstract
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We report a case of Mycobacterium aviumintracellularae meningoencephalitis found in a 31yearold patient with AIDS and preexisting disseminated Mycobacterium aviumintracellularae infection. He had been taking highly active antiretroviral therapy and anti mycobacterial medications when he developed generalized tonicclonic seizure. Repeated workups including blood and cerebrospinal fluid examinations and magnetic resonance image (MRI) of the brain revealed nondiagnostic. The diagnosis was made by stereotactic brain biopsy of the nodule, which was detected 9 month after the first seizure attack in brain MRI. Acidfast bacilli were observed on microscopic exam. Mycobacterium aviumintracellularae was isolated from the biopsy specimen.
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KEYWORD
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Mycobactenum avium, Opportunistic infections, AIDS
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