clinical informationclinical informationradiology.med.miami.edu/documents/cst_case22.pdf ·...
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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.
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