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Case Reports
Journal Article
Mycobacterium avium-intracellulare and the unpredictable course of hypercalcemia in an AIDS patient.
Brazilian Journal of Infectious Diseases 2017 January
A 37-year-old man with AIDS presented with altered mental status four weeks after stopping his medications for Mycobacterium avium-intracellulare (MAI). He had low CD4 cell count and severe hypercalcemia. Bone marrow biopsy revealed bone marrow infiltration by granulomas positive for acid-fast bacilli and cultures grew MAI. His hypercalcemia continued to worsen with the initiation of MAI therapy but we were able to treat it successfully with pamidronate and calcitonin.
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