Multiple Opportunistic Infections and Primary Central Nervous System Lymphoma in a Patient with Idiopathic CD4+ T-lymphocytopenia
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We describe a case of idiopathic CD4+ T-lymphocytopenia (ICL) in a 59-yearold patient who presented with various opportunistic infections. The patient was diagnosed with disseminated Mycobacterium avium infection, cytomegalovirus colitis and retinitis, and esophageal candidiasis. He was successfully treated with anti-mycobacterial drugs, ganciclovir, and fluconazole, respectively. However,the patient was diagnosed with primary central nervous system lymphoma,and then died of a Trichosporon beigelii sepsis during the 2nd cycle of systemic chemotherapy.
Abstract
We describe a case of idiopathic CD4+ T-lymphocytopenia (ICL) in a 59-yearold patient who presented with various opportunistic infections. The patient was diagnosed with disseminated Mycobacterium avium infection, cytomegalovirus colitis and retinitis, and esophageal candidiasis. He was successfully treated with anti-mycobacterial drugs, ganciclovir, and fluconazole, respectively. However,the patient was diagnosed with primary central nervous system lymphoma,and then died of a Trichosporon beigelii sepsis during the 2nd cycle of systemic chemotherapy.
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