Abstract

THE ACQUIRED immunodeficiency syndrome (AIDS) is characterized by a defect in cellular immunity and the occurrence of opportunistic infections or unusual malignant neoplasms. The most commonly reported bacterial infection suggestive of a defect in cellular immunity, which meets the Centers for Disease Control (Atlanta) case definition for AIDS, is disseminated<i>Mycobacterium avium-intracellulare</i>infection.<sup>1</sup>Disseminated infection due to<i>Mycobacterium tuberculosis</i>has also been reported in AIDS.<sup>2</sup>Bacteremia is common in disseminated<i>M avium-intracellulare</i>infection in patients with AIDS.<sup>3</sup>In contrast, bacteremia in disseminated<i>M tuberculosis</i>is rare<sup>4-6</sup>and has not been reported previously in patients with AIDS, to our knowledge. We recently diagnosed disseminated infection due to<i>M tuberculosis</i>, in which bacteremia also occurred, in an intravenous drug abuser with AIDS. <h3>Report of a Case</h3> A 35-year-old man with a three- to five-year history of intravenous heroin and cocaine abuse developed anorexia and weight loss in November

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