Document 0058
 DOCN  M9480058
 TI    [HIV infection, fever and cholestasis (clinical conference)]
 DT    9410
 AU    Giezendanner S; Zala G; Jost J; Greminger P; Meyenberger C; Departement
       fur Innere Medizin, Universitatsspital Zurich.
 SO    Schweiz Rundsch Med Prax. 1994 Jun 14;83(24):757-60. Unique Identifier :
       AIDSLINE MED/94294694
 AB    A 35-year-old Swiss woman with AIDS experienced fever, jaundice and
       cough. Laboratory evaluation revealed signs of an infection and
       cholestasis. The examination by ultrasound showed thickening of the
       intra- and extrahepatic bile ducts and gallbladder wall, without
       dilatation or stones. Endoscopic retrograde cholangiography demonstrated
       diffuse sclerosing cholangitis like lesions in the biliary tract and
       confirmed the diagnosis of a HIV related cholangiopathy. The cause was a
       cytomegalovirus infection as shown by liver biopsy with detection of
       cytomegalovirus early antigen. The treatment with ganciclovir was of
       some efficacy with improvement of jaundice.
 DE    Adult  AIDS-Related Opportunistic Infections/COMPLICATIONS  Case Report
       Cholangitis, Sclerosing/*ETIOLOGY/MICROBIOLOGY  Cholestasis/*ETIOLOGY
       Cytomegalovirus Infections/*COMPLICATIONS/DIAGNOSIS  English Abstract
       Female  Fever/ETIOLOGY  Human  HIV Infections/*COMPLICATIONS  CLINICAL
       CONFERENCE  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
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