Idiopathic CD4+ T lymphocytopenia disclosed by the onset of empyema thoracis.

Important note: Information in this article was accurate in 1999. The state of the art may have changed since the publication date.

Idiopathic CD4+ T lymphocytopenia disclosed by the onset of empyema thoracis.

Intern Med. 1999 Jan;38(1):40-4. Unique Identifier : AIDSLINE MED/99160106
Hamanishi T; Nakao T; Nishino M; Yanagawa T; Kobayashi M; Sasaki H; Matsumoto G; Sanke T; Nanjyo K; First Department of Medicine, Wakayama University of Medical; Science.

Abstract: A 56-year-old man was admitted to our hospital in December 1996 due to empyema thoracis. A laboratory examination revealed lymphocytopenia and CD4+ T lymphocytopenia (<300 cells/ microl). No evidence for a human immunodeficiency virus (HIV) infection was found. No malignant, hematological or autoimmune disease was detected. We thus diagnosed this case as being idiopathic CD4+ T lymphocytopenia (ICL). During his hospital treatment, he was affected with cytomegaloviral retinitis and cured by therapy. His subsequent treatment went well without a recurrence of severe infection although a low CD4+ T lymphocyte count continued after the recovery from empyema thoracis.

Keywords: JOURNAL ARTICLE Antibiotics, Combined/ADMINISTRATION & DOSAGE/THERAPEUTIC USE Antiviral Agents/ADMINISTRATION & DOSAGE/THERAPEUTIC USE Case Report Cytomegalovirus Retinitis/DIAGNOSIS/DRUG THERAPY/ETIOLOGY CD4 Lymphocyte Count Diagnosis, Differential Drug Therapy, Combination Empyema, Pleural/DIAGNOSIS/*ETIOLOGY/THERAPY Follow-Up Studies Ganciclovir/ADMINISTRATION & DOSAGE/THERAPEUTIC USE Human Immunosuppressive Agents/THERAPEUTIC USE Injections, Intravenous Male Middle Age Retrospective Studies Suction T-Lymphocytopenia, Idiopathic CD4-Positive/*COMPLICATIONS/ DIAGNOSIS/DRUG THERAPY
990730
A9971202

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