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Case Reports
Multiple Opportunistic Infections and Primary Central Nervous System Lymphoma in a Patient with Idiopathic CD4+ T-lymphocytopenia
Jin-Su Song1, Pyeong Gyun Choe1, Kyoung-Ho Song1,3, Kyoung Un Park2, Wan Beom Park1, Sang Won Park1, Nam Joong Kim1, Myoung-don Oh1, and Hong Bin Kim1,3
Departments of 1Internal Medicine, and 2Laboratory Medicine, Seoul National University College of Medicine, Seoul; Department of 3Internal Medicine, Seoul National University Bundang Hospital,
Vol.44 Num.1 (p17~21)
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.
Keywords : Idiopathic CD4+ T-lymphocytopenia, Opportunistic infection, CNS lymphoma