An HIV-infected Patient with Confirmed Overlapping Complications of Severe Amebic Colitis and CMV Enteritis

Internal Medicine
Hiromu MorikuboTadakazu Hisamatsu

Abstract

We herein report a case of simultaneous amebic colitis and cytomegalovirus (CMV) enteritis in an HIV-infected patient. The patient was a 40-year-old man who developed bloody stool and diarrhea. We diagnosed him with severe amebic colitis associated with HIV infection and administered metronidazole. While his symptoms began to improve, the patient then developed CMV enteritis. We administered ganciclovir, and his symptoms improved. However, despite control of the infection, stenosis of the descending colon caused intestinal obstruction, and colostomy was performed. This case shows the importance of considering the possibility of simultaneous infection when gastrointestinal symptoms appear in people infected with HIV.

References

Jul 1, 1977·Medicine·E B Adams, I N MacLeod
Apr 24, 2010·Annals of the Royal College of Surgeons of England·Muneer Ahmed
Jul 21, 2010·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Fumihito HiraiToshiyuki Matsui
Apr 23, 2014·Journal of Infection and Chemotherapy : Official Journal of the Japan Society of Chemotherapy·Daiki KariganeTakehiko Mori
Dec 27, 2016·Annals of Medicine and Surgery·Eva María Gutiérrez-DelgadoJavier Ramos-Jiménez

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Citations

Jan 20, 2021·Japanese Journal of Radiology·Eliko TanakaToshi Hashimoto

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BETA
biopsies
biopsy

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