Abaleka Fuad I, Nigussie Bisrat, Onal Ozlem, Al-Zakhari Rana, Yimer Esmael
Internal Medicine, Richmond University Medical Center, Staten Island, USA.
Cureus. 2020 Jul 16;12(7):e9223. doi: 10.7759/cureus.9223.
We report a case of a 39-year-old HIV positive transgender female with isolated manifestations of pulmonary Mycobacterium avium complex (MAC) infection. Although MAC infection is common in immunocompromised patients, the classical presentation is extra-pulmonary. Pulmonary MAC infection is extremely rare. The majority of cases involve patients with underlying structural lung disease. There are no case reports of isolated pulmonary MAC in HIV/AIDS patients without any structural lung disease in the last 17 years. Also, we have not found any cases of newly diagnosed HIV/AIDS patients with pulmonary MAC being the initial presentation.
我们报告了一例39岁的HIV阳性跨性别女性，其患有孤立性肺鸟分枝杆菌复合体（MAC）感染。虽然MAC感染在免疫功能低下的患者中很常见，但典型表现为肺外感染。肺MAC感染极为罕见。大多数病例涉及有潜在结构性肺病的患者。在过去17年中，没有关于无任何结构性肺病的HIV/AIDS患者出现孤立性肺MAC感染的病例报告。此外，我们也未发现任何以肺MAC感染为首发表现的新诊断HIV/AIDS患者的病例。
