Kahlon Summerpal S, East Jeffrey W, Sarria Juan C
Melbourne Internal Medicaine Associates, Melbourne, Florida, USA.
AIDS Read. 2008 Oct;18(10):515-8.
We report a case of osteomyelitis due to Mycobacterium avium-intracellulare complex (MAC) in an AIDS patient shortly after the initiation of antiretroviral therapy with subsequent immune reconstitution inflammatory syndrome (IRIS). He improved after surgical debridement and treatment with clarithromycin, ethambutol, rifabutin, and low-dose corticosteroids. Antiretroviral therapy was not interrupted. MAC should be suspected in IRIS-related complications such as osteomyelitis.
我们报告一例艾滋病患者在开始抗逆转录病毒治疗后不久发生鸟分枝杆菌-胞内分枝杆菌复合体（MAC）引起的骨髓炎，并随后出现免疫重建炎症综合征（IRIS）。患者在接受手术清创以及克拉霉素、乙胺丁醇、利福布汀和小剂量皮质类固醇治疗后病情改善。抗逆转录病毒治疗未中断。在诸如骨髓炎等与IRIS相关的并发症中应怀疑MAC感染。
