AI Article Synopsis

  • This report details the first known case of Mycobacterium avium reactivation in an HIV-infected patient who was on effective antiretroviral therapy.
  • The patient experienced a painful swollen shoulder seven years after the initial infection, despite having an undetectable viral load and normal CD4 count.
  • Laboratory tests confirmed that the M. avium from both the initial infection and the recent reactivation were genetically identical.

Article Abstract

We report the first case of Mycobacterium avium reactivation, after prolonged latency, in a HIV-infected patient receiving highly active antiretroviral therapy with undetectable viral replication and normal CD4 cell count. The patient presented with a painful swollen shoulder seven years after initial M. avium bacteriaemia. Articular puncture grew M. avium. The isolates of the first and second infection were identical using repetitive-sequence-based Polymerase Chain Reaction analyses.

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Source
http://dx.doi.org/10.1016/j.jinf.2011.12.020DOI Listing

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