Images in Clinical Medicine

Kim Eagle, M.D., Editor

Acid-Fast Organisms

Scott Saxman, M.D., and Ruth Ann Portman, M.T.

N Engl J Med 1994; 330:1055April 14, 1994

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Article

Figure 1 Acid-Fast Organisms.

A bone marrow-biopsy specimen, stained by the Ziehl-Neelsen technique (x1000), was obtained from a 47-year-old man with the acquired immunodeficiency syndrome who presented with a high fever and pancytopenia. The small bright-red, rod-shaped cells (arrow) are acid-fast organisms. The larger bright-red areas are clumps of the same organisms. Despite therapy with a combination of ethambutol, clofazimine, rifampin, and ciprofloxacin, the patient died 11 days after the biopsy was performed. Bone marrow cultures subsequently grew Mycobacterium xenopi.

Kim Eagle, M.D.

Scott Saxman, M.D.
Indiana University School of Medicine, Indianapolis, IN 46202

Ruth Ann Portman, M.T.
University of Oklahoma, Oklahoma City, OK 73104

Citing Articles (1)

Citing Articles

1. 1

   (1994) Congenital Tuberculosis. New England Journal of Medicine 331:8, 548-549
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