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Acalculous Cholecystitis and Cytomegalovirus Infection in the Acquired Immunodeficiency Syndrome
- HYMIE KAVIN, M.D.;
- RICHARD B. JONAS, M.D.;
- LOKENDRA CHOWDHURY, M.D.; and
- SHERWIN KABINS, M.D.
Excerpt
Abdominal symptoms in patients with the acquired immunodeficiency syndrome (AIDS) may be due to multi-organ involvement by various opportunistic infections, Kaposi's sarcoma, and non-Hodgkin's lymphoma (1). We report the cases of two patients with severe abdominal pain due to acalculous cholecystitis associated with cytomegalovirus infection.
Patient 1: A bisexual man was hospitalized with Pneumocystis carinii pneumonia; retinal microinfarcts caused by cytomegalovirus; and postprandial epigastric discomfort, nausea, vomiting, and weight loss. Small, superficial antral erosions and a slightly nodular pylorus were seen at endoscopy. Cultures and stains of biopsy samples were negative. Cytomegalovirus complement-fixation tests showed a stable titer of 1:16.
This 100-word excerpt has been provided in the absence of an abstract.
Article and Author Information
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▸Requests for reprints should be addressed to Hymie Kavin, M.D.; Michael Reese Hospital and Medical Center, Division of Gastroenterology, Lake Shore Drive at 31st Street; Chicago, IL 60616.
