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M94A0708.TXT
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1994-10-21
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33 lines
Document 0708
DOCN M94A0708
TI A cavitating lung infection followed by cytomegalovirus
polyradiculopathy--discussion of two problems.
DT 9412
AU Empson M; Britton W; Garsia R; Department of Clinical Immunology, Royal
Prince Alfred Hospital,; Camperdown, NSW.
SO Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:27 (abstract no.
TC-4). Unique Identifier : AIDSLINE ASHM5/94348947
AB A 29 year old HIV positive man presented with pleuritic chest pain.
haemoptysis and epistaxis. Investigations revealed a cavitating lung
lesion, high titre cANCA and scanty pneumocysts. The course was
complicated by clinical hypoadrenalism, secondary infection and
delirium. CSF obtained to investigate the latter grew CMV after 19 days
of incubation. Coinciding with the culture of CMV was the development of
micturition difficulty, painful dysaesthesia and weakness of the lower
limbs. Ganciclovir was immediately commenced and continued for four
weeks at adjusted doses. Despite this, the radiculopathy progressed with
the development of a flaccid paraparesis within one week. Recovery was
slow but almost complete ten weeks after development of the
radiculopathy. The details of the case will be discussed.
DE Adult AIDS-Related Opportunistic Infections/*DIAGNOSIS/DRUG THERAPY
Case Report Cytomegalovirus Infections/*DIAGNOSIS/DRUG THERAPY
Dose-Response Relationship, Drug Drug Administration Schedule
Ganciclovir/THERAPEUTIC USE Human Male Meningitis,
Viral/*DIAGNOSIS/DRUG THERAPY Neurologic Examination/DRUG EFFECTS
Pneumonia, Pneumocystis carinii/*DIAGNOSIS/DRUG THERAPY
Polyradiculoneuritis/*DIAGNOSIS/DRUG THERAPY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).