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Concurrent Cytomegalovirus, M. Tuberculosis and M. Avium‐Intracellulare Cutaneous Infection in an HIV Patient
Author(s) -
Núñez María,
Miralles Enrique S.,
Hilara Yolanda,
Pintado Vicente,
Harto Antonio,
Ledo Antonio
Publication year - 1997
Publication title -
the journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.9
H-Index - 65
eISSN - 1346-8138
pISSN - 0385-2407
DOI - 10.1111/j.1346-8138.1997.tb02811.x
Subject(s) - cytomegalovirus , tuberculosis , medicine , histopathology , coinfection , mycobacterium tuberculosis , human immunodeficiency virus (hiv) , aids related opportunistic infections , immunology , pathology , virology , dermatology , viral disease , sida , herpesviridae
We report a 25‐year‐old HIV‐positive man with a past medical history of disseminated cytomegalovirus (CMV) infection, who developed cutaneous lesions during a disseminated mycobacterium infection. The histological changes of CMV and acid‐fast bacilli were seen on histopathology of the lesions. Cultures were positive for M. tuberculosis and M. avium‐intracellulare (MAI). CMV is frequently isolated from HIV patients, but skin involvement is rare. The association of CMV and mycobacteria can occur in cutaneous lesions of AIDS patients, but concurrent cutaneous involvement of CMV, M. tuberculosis , and MAI is unusual. These findings emphasize the polymorphous presentation of infectious disorders in AIDS patients and the need for multiple biopsies and for special stains in such patients.