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Colitis Due to Cytomegalovirus and Cryptosporidium Infection Associated with AIDS, Report of a Case Kenji Kondo 1 , Yukie Itagaki 1 , Tomiko Ryu 1 , Tsutomu Hamada 1 1Department of Gastroenterology, The Social Health Insurance Medical Center Keyword: AIDS , cytomegalovirus , Cryptosporidium , Opportunistic infection pp.1757-1762
Published Date 1997/12/25
DOI https://doi.org/10.11477/mf.1403105272
  • Abstract
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 A 46-year-old homosexual man was diagnosed as HIV positive since 1991. Diarrhea occured from July 1995, but stegnotic therapy was non-effective. Gradually he complained bloody stool and was admitted to our hospital. Several stool cultures for ova and parasites were negative. Double contrast barium enema revealed lead-pipe appearance mimicking ulcerative colitis and punched out shaped deep ulcers from the transverse colon to the sigmoid colon. Total colonoscopy demonstrated diffuse pancolitis and punched out shaped ulcers. Biopsy specimen revealed cytomegaloviral inclusion bodies at the edge of ulcers, in addition oocysts of Cryptosporidium in the erosive colonic mucosa and at the edge of ulcers. We considered that these radiographic and endoscopic findings of the colon were caused by mixed infection.


Copyright © 1997, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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