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Successful Treatment of Disseminated Bacillus Calmette-Guérin Disease in an HIV-Infected Child with a Linezolid-Containing Regimen
Joint Authors
Roglić, Srđan
Dickson, Drusia
Miše, Branko
Katalinić-Janković, Vera
Rutherford, George
Begovac, Josip
Viskovic, Klaudija
Source
Case Reports in Infectious Diseases
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-10-10
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Upon HIV infection diagnosis, an 8-month-old boy was transferred for evaluation of worsening respiratory distress requiring mechanical ventilation.
Pneumocystis jirovecii pneumonia (PCP) was diagnosed; the boy also had a nonhealing ulcer at the site of vaccination with Statens Serum Institut (Danish strain) Bacillus Calmette-Guérin (BCG) vaccine and associated axillary lymphadenopathy.
PCP treatment resulted in weaning from mechanical ventilation.
Antimycobacterial treatment was immediately attempted but was discontinued because of hepatotoxicity.
Over several months, he developed splenic lesions and then disseminated skin and cystic bone lesions.
M.
bovis was repeatedly cultured from both skin and bone lesions despite various multidrug antimycobacterial regimens which included linezolid.
Eventually, treatment with a regimen of rifabutin, isoniazid, ethambutol, and linezolid led to definitive cure.
Clinicians should consider a linezolid-containing regimen for treatment of severe disseminated BCG infection, especially if other drug regimens have failed.
Although drug toxicity is a particular concern for young children, this patient received linezolid for 13 months without serious toxicity.
This case also highlights the need for universal screening among pregnant women to prevent vertical transmission of HIV.
Finally, routine immunization with BCG vaccine at birth should be questioned in countries with low and declining burden of tuberculosis.
American Psychological Association (APA)
Roglić, Srđan& Dickson, Drusia& Miše, Branko& Viskovic, Klaudija& Katalinić-Janković, Vera& Rutherford, George…[et al.]. 2016. Successful Treatment of Disseminated Bacillus Calmette-Guérin Disease in an HIV-Infected Child with a Linezolid-Containing Regimen. Case Reports in Infectious Diseases،Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1100936
Modern Language Association (MLA)
Roglić, Srđan…[et al.]. Successful Treatment of Disseminated Bacillus Calmette-Guérin Disease in an HIV-Infected Child with a Linezolid-Containing Regimen. Case Reports in Infectious Diseases No. 2016 (2016), pp.1-6.
https://search.emarefa.net/detail/BIM-1100936
American Medical Association (AMA)
Roglić, Srđan& Dickson, Drusia& Miše, Branko& Viskovic, Klaudija& Katalinić-Janković, Vera& Rutherford, George…[et al.]. Successful Treatment of Disseminated Bacillus Calmette-Guérin Disease in an HIV-Infected Child with a Linezolid-Containing Regimen. Case Reports in Infectious Diseases. 2016. Vol. 2016, no. 2016, pp.1-6.
https://search.emarefa.net/detail/BIM-1100936
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100936