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Chylous ascites: a late complication of intra-abdominal Mycobacterium avium complex immune reconstitution syndrome in HIV-infected patients.

Abstract：

:Chylous ascites related to Mycobacterium avium complex (MAC) in HIV-infected patients is rare, with only six cases reported in the English literature. We report a series of six cases from a single institution. During the past six years, chylous ascites was diagnosed in six (35%) of 17 AIDS patients, all of whom had previously been diagnosed with intra-abdominal MAC immune reconstitution syndrome (MAC-IRS). A review of medical records identified no other cases of chylous ascites among HIV-positive patients over the past 13 years (1994-2007), and the incidence was estimated at one in 2248 HIV-positive admissions. The ascitic fluid had a milky appearance and a median triglyceride level of 4.07 mmol/L (range 3.19-29.6 mmol/L) (360 mg/dL, range 282-2620 mg/dL). After a median follow-up of 20 months, five (83%) of six patients survived. Chylous ascites is a late complication of intra-abdominal MAC-IRS, and is usually associated with a favourable prognosis.

journal_name

Int J STD AIDS

journal_title

International journal of STD & AIDS

authors

Phillips P,Lee JK,Wang C,Yoshida E,Lima VD,Montaner J

doi

10.1258/ijsa.2008.008275

subject

Has Abstract

pub_date

2009-04-01 00:00:00

pages

285-7

issue

4

eissn

0956-4624

issn

1758-1052

pii

20/4/285

journal_volume

20

pub_type

杂志文章

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