[Clinicopathological study of 34 autopsy cases of mycobacteriosis in patients with acquired immunodeficiency syndrome].

OBJECTIVE

Clinicopathological features of mycobacteriosis were studied by means of microscopical examination of 34 autopsy cases in patients with acquired immunodeficiency syndrome (AIDS) and the diagnostic methods were evaluated.

METHODS

All cases were anatomized, sampled, fixed and embedded routinely and stained with hematoxylin-eosin. Acid fast stain was applied to identify the mycobacteria. The pathological sections and files were reviewed systemically and retrospectively.

RESULTS

Thirty-four cases of mycobacteriosis, including Mycobacterium avium-intracellular complex (MAI) infection (20 cases) and Mycobacterium tuberculosis (10 cases) and mixed infection of both pathogens (4 cases) were found out of 151 autopsy AIDS patients. MAI infection involved mostly the lymph nodes (21 cases) and followed by spleen, liver and lung, etc. The infection were often disseminated and characterized by proliferation of histocytes with foamy or vacuolar cytoplasm containing acid fast bacilli and formation of granulomatous nodules. Tuberculosis often involved the lung (10 cases) and lymph node (8 cases), the typical manifestations of which were caseous necrosis and tuberculation. Other opportunistic infections and neoplasmas occurred with mycobacteriosis in 25 cases.

CONCLUSIONS

Mycobacteriosis, especially the tuberculosis and MAI infection are common in patients with AIDS, which are often disseminated and involved the lung and lymph node. The diagnosis can be made according to the specific pathological appearances and positive acid fast stain.