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A cavitating lung infection followed by cytomegalovirus polyradiculopathy--discussion of two problems.

Empson M, Britton W, Garsia R; Australasian Society for HIV Medicine. Conference.

Annu Conf Australas Soc HIV Med. 1993 Oct 28-30; 5: 27 (abstract no. TC-4).

Department of Clinical Immunology, Royal Prince Alfred Hospital, Camperdown, NSW.

A 29 year old HIV positive man presented with pleuritic chest pain. haemoptysis and epistaxis. Investigations revealed a cavitating lung lesion, high titre cANCA and scanty pneumocysts. The course was complicated by clinical hypoadrenalism, secondary infection and delirium. CSF obtained to investigate the latter grew CMV after 19 days of incubation. Coinciding with the culture of CMV was the development of micturition difficulty, painful dysaesthesia and weakness of the lower limbs. Ganciclovir was immediately commenced and continued for four weeks at adjusted doses. Despite this, the radiculopathy progressed with the development of a flaccid paraparesis within one week. Recovery was slow but almost complete ten weeks after development of the radiculopathy. The details of the case will be discussed.

Publication Types:
  • Meeting Abstracts
Keywords:
  • Cytomegalovirus
  • Cytomegalovirus Infections
  • Cytomegalovirus Retinitis
  • Ganciclovir
  • Humans
  • Lung Diseases
  • Male
  • Polyradiculopathy
  • Radiculopathy
  • Respiratory Tract Infections
  • methods
Other ID:
  • 94348947
UI: 102207931

From Meeting Abstracts




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