Pathology of opportunistic infections in children with acquired immune deficiency syndrome

V. V. Joshi, J. M. Oleske, S. Saad, E. M. Connor, R. H. Rapkin, A. B. Minnefor

Research output: Contribution to journalArticlepeer-review

31 Scopus citations

Abstract

Opportunistic infections (OI) were diagnosed by histology and culture of biopsy and autopsy material in 15 children with the acquired immune deficiency syndrome (AIDS). The opportunistic pathogens included Pneumocystic carinii, Toxoplasma gondii, Candida species, Aspergillus species, Mycobacterium avium-intracellulare, cytomegalovirus, and herpes simplex virus. Seven of 15 patients also had multiple systemic infections with common pathogenic bacteria. Accurate diagnosis of OI in AIDS is of importance in the decision regarding the choice of appropriate antimicrobial therapy. Careful histologic assessment of the biopsy specimens; awareness of unusual features such as paucity of organisms and inflammatory reaction, "histoid" variety of reaction, lack of granuloma formation, and resemblance to Whipple's disease in certain OI; and demonstration of causative organisms by appropriate special stains andlor culture are essential in the evaluation of these patients..

Original languageEnglish (US)
Pages (from-to)145-150
Number of pages6
JournalFetal and Pediatric Pathology
Volume6
Issue number2-3
DOIs
StatePublished - 1986

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health
  • Pathology and Forensic Medicine

Keywords

  • AIDS
  • Bacterial infections
  • Opportunistic infections

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