DISSEMINATED ASPERGILLOSIS IN PATIENTS WI TH THE ACQUIRED-IMMUNODEFICIENCY-SYNDROME

Disseminated aspergillosis is very infrequent in patients infected by the human immunodeficiency virus and diagnosis is made usually upon ne cropsy. The case of a 28 year old male who presented multiple abscesse s by Aspergillus sp. in the lung, thyroid glands, spleen, myocardium, pancreas, kidney and in both cerebral hemispheres is presented. The pa tient also concommitantly showed M. avium in the spleen, liver and cen tral nervous system. The literature was reviewed to evaluate the clini cal characteristics and predisposing factors which may contribute to d iagnosis and treatment.