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Clinical Information Clinical Information - 36y/o M with history of HIV/AIDS and 36y/o M with history of HIV/AIDS and Kaposi’s Sarcoma. - HPI: SOB, subjective fever and cough.

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Clinical InformationClinical Information

- 36y/o M with history of HIV/AIDS and36y/o M with history of HIV/AIDS and Kaposi’s Sarcoma.

- HPI: SOB, subjective fever and cough.

Images (use multiple slides ifImages (use multiple slides if necessary)

Mycobacterium KansasiiMycobacterium KansasiiMicrobiology:

AFB Smear Only (f):SPUTUM INDUCED---FEW ACID FAST ORGANISMS SEEN Pneumocystis carinii, DFA NEGATIVE Pneumocystis carinii, DFA NEGATIVE AFB Smear Only (f):SPUTUM---DIRECT SMEAR: RARE ACID FAST ORGANISMS SEEN Pneumocystis carinii, DFA NEGATIVE AFB Culture & Smear (p):SPUTUM INDUCED---NO ACID FAST BACILLI ISOLATED AFTER 3 DAYS Pneumocystis carinii, DFA NEGATIVE AFB Culture & Smear (p):SPUTUM INDUCED---NO ACID FAST BACILLI ISOLATED AFTER 4 DAYS

Final Culture: Mycobacterium Kansasii, on 12/30/07 PCR for TB: negative12/30/07 PCR for TB: negative

Treatment during hospitalization:PCP

BactrimPrednisonePrednisone

TBRifampinIsoniazidPyridoxineEthambutolPyrazinamide

DiagnosisDiagnosis

Mycobacterium Kansasii