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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.

참고문헌 (20)

  1. Fauci AS., "CD4+ T-lymphocytopenia without HIV infection--no lights, no camera, just facts", N Engl J Med, 328, pp.429~431 (1993)
  2. Centers for Disease Control(CDC), "Unexplained CD4+ T-lymphocyte depletion in persons without evident HIV infection--United States", MMWR Morb Mortal Wkly Rep, 41, pp.541~545 (1992)
  3. Walker UA., "Idiopathic CD4 lymphocytopenia", Curr Opin Rheumatol, 18, pp.389~395 (2006)
  4. 박철민, "중합효소연쇄반응-제한절편길이다형성을 이용한 비결핵항산균의 분리", Annals of Laboratory Medicine, 26(3), pp.161~167 (2006), 대한진단검사의학회
  5. Smith DK., "Unexplained opportunistic infections and CD4+ T-lymphocytopenia without HIV infection. An investigation of cases in the United States. The Centers for Disease Control Idiopathic CD4+ T-lymphocytopenia Task Force", N Engl J Med, 328, pp.373~379 (1993)
  6. Laurence J., "T-cell subsets in health, infectious disease, and idiopathic CD4+ T lymphocytopenia", Ann Intern Med, 119, pp.55~62 (1993)
  7. Kony SJ., "Tuberculosis-associated severe CD4+ T-lymphocytopenia in HIV-seronegative patients from Dakar. SIDAK Research Group", J Infect, 41, pp.167~171 (2000)
  8. Zonios DI., "Idiopathic CD4+ lymphocytopenia : natural history and prognostic factors", Blood, 112, pp.287~294 (2008)
  9. DeHovitz JA., "Idiopathic CD4+ Tlymphocytopenia", N Engl J Med, 329, pp.1045~1046 (1993)
  10. 안인선, "A Case of Pulmonary Cryptococcosis with Non-Small Cell Lung Cancer in Idiopathic CD4+ T-Lymphocytopenia", Yonsei Medical Journal, 46(1), pp.173~176 (2005), 연세대학교의과대학
  11. Fahey JL., "The prognostic value of cellular and serologic markers in infection with human immunodeficiency virus type 1", N Engl J Med, 322, pp.166~172 (1990)
  12. Stein DS., "CD4+ lymphocyte cell enumeration for prediction of clinical course of human immunodeficiency virus disease : a review", J Infect Dis, 165, pp.352~363 (1992)
  13. Busse PJ., "Primary leptomeningeal lymphoma in a patient with concomitant CD4+ lymphocytopenia", Ann Allergy Asthma Immunol, 88, pp.339~342 (2002)
  14. Campbell JK., "Diffuse large cell lymphoma and t(8;22)(q24;q11)in a patient with idiopathic CD4+ T-lymphopenia", Leuk Lymphoma, 41, pp.421~423 (2001)
  15. Cook MA., "Non-Hodgkin's lymphoma : an unusual complication of idiopathic CD4+ lymphopenia", Hosp Med, 59, pp.582~ (1998)
  16. Quiles I., "Idiopathic CD4+ T-lymphocytopenia with opportunistic infection and non-Hodgkin's lymphoma", J Intern Med, 238, pp.183~184 (1995)
  17. Sewell HF., "Phenotypic abnormality of T cells in B cell non-Hodgkin's lymphoma", Dis Markers, 8, pp.145~149 (1990)
  18. Beral V., "AIDS-associated non-Hodgkin lymphoma", Lancet, 337, pp.805~809 (1991)
  19. Ayoub JP., "Therapeutic and prognostic implications of peripheral blood lymphopenia in patients with Hodgkin's disease", Leuk Lymphoma, 34, pp.519~527 (1999)
  20. Hanamura I., "Idiopathic CD4+ T-lymphocytopenia in a non-Hodgkin's lymphoma patient", Intern Med, 36, pp.643~646 (1999)

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