Campylobacter Bacteremia, Cholecystitis, and the Acquired Immunodeficiency Syndrome

Excerpt

To the editor: We read with interest the reports of Kavin and colleagues (1) of acalculous cholecystitis and of Margulis and colleagues (2) of biliary tract disease in patients with AIDS. We have previously described the entity of acaculous cholecystitis in patients with AIDS (3).

A 24-year-old male homosexual and intravenous drug abuser with a history of Pneumocystis carinii pneumonia, gonococcal urethritis, and syphilis was hospitalized for the treatment of cryptococcal meningitis. Therapy was begun with amphotericin B plus flucytosine. The patient remained anorexic with low-grade fever despite this therapy. Measurements of aspartate amino-transferase (AST) and serum alkaline phosphatase concentrations