HYMIE KAVIN, M.D.; RICHARD B. JONAS, M.D.; LOKENDRA CHOWDHURY, M.D.; SHERWIN KABINS, M.D.
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.
KAVIN H, JONAS RB, CHOWDHURY L, KABINS S. Acalculous Cholecystitis and Cytomegalovirus Infection in the Acquired Immunodeficiency Syndrome. Ann Intern Med. ;104:53–54. doi: 10.7326/0003-4819-104-1-53
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Published: Ann Intern Med. 1986;104(1):53-54.
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