Abstract
- The prevalence of infection with Mycobacterium avium complex (MAC) has increased since the outbreak of the HIV pandemic. This complex comprises two organisms: M. avium (mostly) and M. intracellulare (rarely). The source of MAC infection is not known. - The principal risk factors for disseminated MAC infection in a patient with HIV infection are a low CD 4 count and a previous opportunistic infection. - The symptoms of disseminated MAC infection resemble those of HIV wasting: A positive culture of normally sterile tissue confirms a MAC infection. - There is reserve with regard to routine prophylaxis in HIV-infected persons because of the possible development of resistance, interaction with other drugs used in AIDS, toxicity and possible absorption disorders which might cause prophylaxis to fail. - For the treatment of disseminated MAC infection, a combination of at least two medicaments (macrolides and ethambutol) is recommended.
Translated title of the contribution | Mycobacterium avium infection in HIV-infected patients: Epidemiology, diagnosis, prophylaxis and treatment |
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Original language | Dutch |
Pages (from-to) | 80-83 |
Number of pages | 4 |
Journal | Nederlands Tijdschrift voor Geneeskunde |
Volume | 141 |
Issue number | 2 |
Publication status | Published - 4 Feb 1997 |