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 Mycobacterium avium-intracellulare infection.1 Disseminated infection due to Mycobacterium tuberculosis has also been reported in AIDS.2 Bacteremia is common in disseminated M avium-intracellulare infection in patients with AIDS.3 In contrast, bacteremia in disseminated M tuberculosis is rare4-6 and has not been reported previously in patients with AIDS, to our knowledge. We recently diagnosed disseminated infection due to M tuberculosis, in which bacteremia also occurred, in an intravenous drug abuser with AIDS.
Report of a Case
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