Dore G; Australasian Society for HIV Medicine. Conference.
Annu Conf Australas Soc HIV Med. 1993 Oct 28-30; 5: 32 (abstract no. FC2).
St Vincent's Hospital, Darlinghurst, Sydney.
A 43 year old homosexual man, known seropositive for Human Immunodeficiency Virus (HIV) since 1984, with a CD4 Lymphocyte count of 40 x 109/ml, but with no prior Acquired Immunodeficiency Syndrome (AIDS) defining illness, presented with a three-week history of fevers, non-productive cough, pleuritic chest pain and dysphagia. Physical examination revealed normal chest auscultation, no lymphadenopathy or hepatosplenomegaly. A chest x-ray showed some widening of the superior mediastinum, but the lung fields were clear. Endoscopic examination revealed a perforated oesophageal ulcer at 30 centimetres, and a gastrograffin swallow demonstrated a small leak into the mediastinum. Mycobacterium were seen on Auramine and Ziehl-Neelsen stains of the biopsies from the ulcer edge. A mediastinal biopsy grew Mycobacterium tuberculosis. The patient defervesced rapidly with standard anti-tuberculosis therapy and the perforation had healed at endoscopic follow-up one month later.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- CD4 Lymphocyte Count
- Deglutition Disorders
- Esophageal Diseases
- Esophageal Perforation
- Fever
- HIV
- HIV Seropositivity
- Humans
- Lung
- Male
- Mediastinum
- Mycobacterium
- Mycobacterium Infections, Atypical
- Mycobacterium tuberculosis
- Tuberculosis
- Ulcer
Other ID:
UI: 102207941
From Meeting Abstracts