Document 0028
 DOCN  M95B0028
 TI    [Cytomegalovirus-induced colitis in HIV infection. Considerations on its
       diagnosis, treatment and complications]
 DT    9511
 AU    Sousa AE; Lucas M; Palhano MJ; de Deus J; Damiao J; Victorino RM;
       Servico de Medicina 2, Patologia Cirurgica e Anatomia; Patologica,
       Hospital Universitario de Santa Maria, Lisboa.
 SO    Acta Med Port. 1995 Apr;8(4):247-51. Unique Identifier : AIDSLINE
       MED/95351140
 AB    The diagnosis of cytomegalovirus intestinal disease in patients with HIV
       (human immunodeficiency virus) infection frequently raises diagnostic
       problems in view of the absence of definite pathological, serological or
       virological markers of active CMV infection. We describe the case of a
       47-year-old man with a CMV colitis which illustrates several diagnostic
       and therapeutic problems and that was complicated by an intestinal
       perforation. We emphasize that in HIV+ patients with chronic diarrhea,
       the presence of abdominal pain should suggest the possibility of a CMV
       colitis and that in such cases a colonoscopy with biopsies of the right
       colon should be performed, in view of the higher frequency of the
       typical histopathological changes at this level. On the other hand, this
       case presented a marked thickening of the colon wall, simulating
       pseudotumoral images on CAT scans, as recently described in literature.
       The therapeutic possibilities as well as the complications of CMV
       colitis are discussed in the context of the occurrence of an ileal
       perforation, which represents the first report of this complication in
       Portuguese literature and which had the particularity of having a long
       survival after surgery in comparison with the previous cases described
       in international literature.
 DE    AIDS-Related Opportunistic Infections/COMPLICATIONS/*DIAGNOSIS/  SURGERY
       Biopsy  Case Report  Colitis/COMPLICATIONS/*DIAGNOSIS/SURGERY
       Colon/PATHOLOGY/RADIOGRAPHY  Colonoscopy  Cytomegalovirus
       Infections/COMPLICATIONS/*DIAGNOSIS/SURGERY  English Abstract  Human
       *HIV-1  Ileostomy  Male  Middle Age  Tomography, X-Ray Computed  JOURNAL
       ARTICLE  REVIEW  REVIEW OF REPORTED CASES

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