Profound T-lymphocytopenia and cryptococcemia in a human immunodeficiency virus-seronegative patient with disseminated tuberculosis

被引:25
作者
Zaharatos, GJ
Behr, MA
Libman, MD
机构
[1] McGill Univ, Montreal Gen Hosp, Div Infect Dis, Ctr Hlth, Montreal, PQ H3G 1A4, Canada
[2] McGill Univ, Montreal Gen Hosp, Div Med Microbiol, Ctr Hlth, Montreal, PQ H3G 1A4, Canada
关键词
D O I
10.1086/324086
中图分类号
R392 [医学免疫学]; Q939.91 [免疫学];
学科分类号
100102 ;
摘要
A 47-year-old human immunodeficiency virus-seronegative West African man who presented in extremis with cachexia, lymphadenopathy, multiple organ dysfunction, and marked T-lymphocytopenia received the diagnosis of disseminated tuberculosis, cryptococcal pneumonia, and cryptococcemia. His subsequent course and our review of the literature suggest that the profound T-lymphocytopenia and ensuing cryptococcal disease were likely attributable to disseminated tuberculosis.
引用
收藏
页码:E125 / E128
页数:4
相关论文
共 14 条
[1]  
Al-Jahdali H, 2000, INT J TUBERC LUNG D, V4, P252
[2]  
Centers for Disease Control and Prevention, 1992, MMWR-MORBID MORTAL W, V41, P541
[3]   IDIOPATHIC CD4+ T-LYMPHOCYTE DEPLETION IN A WEST-AFRICAN POPULATION [J].
DJOMAND, G ;
DIABY, L ;
NGBICHI, JM ;
COULIBALY, D ;
KADIO, A ;
YAPI, A ;
KANGA, JM ;
BOATENG, E ;
DIALLO, K ;
KESTENS, L ;
BRATTEGAARD, K ;
DECOCK, KM .
AIDS, 1994, 8 (06) :843-847
[4]   IDIOPATHIC CD4+ T-LYMPHOCYTOPENIA - 4 PATIENTS WITH OPPORTUNISTIC INFECTIONS AND NO EVIDENCE OF HIV-INFECTION [J].
DUNCAN, RA ;
VONREYN, CF ;
ALLIEGRO, GM ;
TOOSSI, Z ;
SUGAR, AM ;
LEVITZ, SM .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 328 (06) :393-398
[5]   IDIOPATHIC CD4+ T-LYMPHOCYTOPENIA - IMMUNODEFICIENCY WITHOUT EVIDENCE OF HIV-INFECTION [J].
HO, DD ;
CAO, YZ ;
ZHU, TF ;
FARTHING, C ;
WANG, N ;
GU, GL ;
SCHOOLEY, RT ;
DAAR, ES .
NEW ENGLAND JOURNAL OF MEDICINE, 1993, 328 (06) :380-385
[6]   CD4 cell counts in human immunodeficiency virus-negative patients with tuberculosis [J].
Jones, BE ;
Oo, MM ;
Taikwel, EK ;
Qian, DJ ;
Kumar, A ;
Maslow, ER ;
Barnes, PF .
CLINICAL INFECTIOUS DISEASES, 1997, 24 (05) :988-991
[7]   Tuberculosis-associated severe CD4+T-lymphocytopenia in HIV-seronegative patients from Dakar [J].
Kony, SJ ;
Hane, AA ;
Larouzé, B ;
Samb, A ;
Cissoko, S ;
Sow, PS ;
Sané, M ;
Maynart, M ;
Diouf, G ;
Murray, JF .
JOURNAL OF INFECTION, 2000, 41 (02) :167-171
[8]   HEMATOLOGICAL-CHANGES ASSOCIATED WITH MILIARY TUBERCULOSIS OF THE BONE-MARROW [J].
LOMBARD, EH ;
MANSVELT, EPG .
TUBERCLE AND LUNG DISEASE, 1993, 74 (02) :131-135
[9]  
MARTEENS G, 1990, AM J MED, V89, P291
[10]   Geographical distribution of HIV-1 group O viruses in Africa [J].
Peeters, M ;
Gueye, A ;
Mboup, S ;
BibolletRuche, F ;
Ekaza, E ;
Mulanga, C ;
Ouerdrago, R ;
Gandji, R ;
Mpele, P ;
Dibanga, G ;
Koumare, B ;
Saidou, M ;
EsuWilliams, E ;
Lombart, JP ;
Badombena, W ;
Luo, N ;
VandenHaesevelde, M ;
Delaporte, E .
AIDS, 1997, 11 (04) :493-498