Successful Treatment of Chylous Ascites Secondary to Mycobacterium avium Complex in a Patient With the Acquired Immune Deficiency Syndrome

Keaveny, Andrew P.; Karasik, Michael S.; Farber, Harrison W.
June 1999
American Journal of Gastroenterology;Jun1999, Vol. 94 Issue 6, p1689
Academic Journal
Chylous ascites is a rare form of ascites, the presence of which generally denotes a very poor long term prognosis. We report the case of a patient with acquired immune deficiency syndrome (AIDS) and massive chylous ascites secondary to Mycobacterium avium complex (MAC) infection, identified in the ascitic fluid by a DNA probe assay. With multidrug anti-MAC therapy the ascites resolved completely, and the patient has survived for >21 months. Diagnosis and treatment of MAC-related chylous ascites are reviewed.


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