Document 0708
 DOCN  M94A0708
 TI    A cavitating lung infection followed by cytomegalovirus
       polyradiculopathy--discussion of two problems.
 DT    9412
 AU    Empson M; Britton W; Garsia R; Department of Clinical Immunology, Royal
       Prince Alfred Hospital,; Camperdown, NSW.
 SO    Annu Conf Australas Soc HIV Med. 1993 Oct 28-30;5:27 (abstract no.
       TC-4). Unique Identifier : AIDSLINE ASHM5/94348947
 AB    A 29 year old HIV positive man presented with pleuritic chest pain.
       haemoptysis and epistaxis. Investigations revealed a cavitating lung
       lesion, high titre cANCA and scanty pneumocysts. The course was
       complicated by clinical hypoadrenalism, secondary infection and
       delirium. CSF obtained to investigate the latter grew CMV after 19 days
       of incubation. Coinciding with the culture of CMV was the development of
       micturition difficulty, painful dysaesthesia and weakness of the lower
       limbs. Ganciclovir was immediately commenced and continued for four
       weeks at adjusted doses. Despite this, the radiculopathy progressed with
       the development of a flaccid paraparesis within one week. Recovery was
       slow but almost complete ten weeks after development of the
       radiculopathy. The details of the case will be discussed.
 DE    Adult  AIDS-Related Opportunistic Infections/*DIAGNOSIS/DRUG THERAPY
       Case Report  Cytomegalovirus Infections/*DIAGNOSIS/DRUG THERAPY
       Dose-Response Relationship, Drug  Drug Administration Schedule
       Ganciclovir/THERAPEUTIC USE  Human  Male  Meningitis,
       Viral/*DIAGNOSIS/DRUG THERAPY  Neurologic Examination/DRUG EFFECTS
       Pneumonia, Pneumocystis carinii/*DIAGNOSIS/DRUG THERAPY
       Polyradiculoneuritis/*DIAGNOSIS/DRUG THERAPY  MEETING ABSTRACT

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