{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T20:45:55Z","timestamp":1777927555599,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T00:00:00Z","timestamp":1760745600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J STD AIDS"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    <jats:italic toggle=\"yes\">Mycobacterium avium<\/jats:italic>\n                    complex (MAC) is a common opportunistic infection in advanced human immunodeficiency virus (HIV), but splenic abscess formation is rare. We report a 35-year-old man with newly diagnosed HIV who presented with chronic cough, fever, abdominal discomfort, and pancytopenia. Imaging revealed a solitary splenic abscess. Cultures from sputum, stool, and abscess drainage in addition to lymph node and duodenal biopsies confirmed disseminated MAC. Additional diagnoses included cytomegalovirus viremia, esophageal candidiasis, and MAC-related granulomatous hepatitis. He was treated with rifabutin, ethambutol, and azithromycin) and started on antiretroviral therapy (ART) during admission. The patient was discharged on ongoing MAC therapy and ART. This case highlights a rare presentation of disseminated MAC as a solitary, drainable splenic abscess in severe immunosuppression, underscoring the need to consider atypical focal infections in advanced HIV.\n                  <\/jats:p>","DOI":"10.1177\/09564624251391236","type":"journal-article","created":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T15:55:47Z","timestamp":1760802947000},"page":"309-313","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Disseminated\n                    <i>Mycobacterium avium<\/i>\n                    complex presenting with solitary splenic abscess in an immunocompromised patient"],"prefix":"10.1177","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5641-9116","authenticated-orcid":false,"given":"Leah","family":"Froehle","sequence":"first","affiliation":[{"name":"Boston University Chobanian and Avedisian School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Torres","sequence":"additional","affiliation":[{"name":"Boston University Chobanian and Avedisian School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Audrey","family":"Li","sequence":"additional","affiliation":[{"name":"University of Washington School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,18]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1128\/CMR.9.2.177"},{"key":"e_1_3_4_3_2","first-page":"127","article-title":"Mycobacterium avium: an overview","volume":"114","author":"Busatto C","year":"2019","unstructured":"Busatto C, Vianna JS, da Silva LV, et al. Mycobacterium avium: an overview. Tuberc Edinb Scotl 2019; 114: 127\u2013134.","journal-title":"Tuberc Edinb Scotl"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1097\/RCT.0000000000000639"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijid.2016.03.006"},{"issue":"1","key":"e_1_3_4_6_2","first-page":"10","article-title":"Disseminated MAI in an HIV Patient-An unusual presentation","volume":"10","author":"Simon J","year":"2023","unstructured":"Simon J, Lambert J, Mosco-Guzman J, et al. Disseminated MAI in an HIV Patient-An unusual presentation. 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[Diagnosis of disseminated mycobacterial infection in AIDS patients by US-guided fine needle aspiration biopsy of lymphnodes and spleen]. 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