Infection by the Mycobacterium avium-intracellulare complex in patients with HIV/AIDS in a Peruvian hospital: a series of cases

Authors

  • César Ticona-Huaroto Servicio de Medicina en Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico especialista en Medicina de Enfermedades Infecciosas y Tropicales
  • Lilian Astocondor-Salazar Servicio de Medicina en Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico especialista en Medicina de Enfermedades Infecciosas y Tropicales
  • Juan Montenegro-Idrogo Servicio de Medicina en Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú. médico cirujano.
  • Gustavo Valencia-Mesias Servicio de Medicina en Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú. médico cirujano.
  • Jaime Soria Servicio de Medicina en Enfermedades Infecciosas y Tropicales, Hospital Nacional Dos de Mayo. Lima, Perú. Médico especialista en Medicina de Enfermedades Infecciosas y Tropicales

DOI:

https://doi.org/10.17843/rpmesp.2017.342.2476

Keywords:

Mycobacterium avium complex, HIV-1, Acquired immunodeficiency syndrome

Abstract

There is little information on the presence of the Mycobacterium avium-Intracellulare (MAC) complex in Peru. Five cases of MAC infection are described in patients with HIV/AIDS at the National Hospital Dos de Mayo, Lima – Peru. The patients presented, mainly, persistent fever, chronic diarrhea, consumptive syndrome, pancytopenia and citofagocitosis. In all of them, resistant acid-alcohol bacilli were identified in feces, so they received antituberculous treatment. The culture of feces was negative for Mycobacterium tuberculosis and, later, in all cases MAC was identified using a molecular test (genotype) in the culture of feces. Three patients received treatment for MAC right after identification; however, they all died. Before presentations similar to the reported, we suggest the use of higher performance methods (blood culture, myeloculture, molecular tests), as well as early associating drugs with activity for MAC to antitubercular scheme with the intention of improving the prognosis of this group of patients.

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Published

2017-06-28

Issue

Section

Case Report

How to Cite

1.
Ticona-Huaroto C, Astocondor-Salazar L, Montenegro-Idrogo J, Valencia-Mesias G, Soria J. Infection by the Mycobacterium avium-intracellulare complex in patients with HIV/AIDS in a Peruvian hospital: a series of cases. Rev Peru Med Exp Salud Publica [Internet]. 2017 Jun. 28 [cited 2024 Jul. 14];34(2):323-7. Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/2476

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