Connie Jumper, MD; J. John Weems Jr., MD; Ludwig A. Lettau, MD, MPH
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To the Editors: The recent paper by Till and colleagues describes six patients with human immunodeficiency virus type 1 (HIV-1) infection who had clinical and radiographic findings consistent with typhlitis (1). However, in none of these cases, nor in two previously reported cases (2), was cecal inflammation confirmed at surgery or at autopsy.
We recently treated an HIV-1-infected patient with typhlitis confirmed at laparotomy, associated with Clostridium septicum infection.
A 34-year-old woman with advanced acquired immunodeficiency syndrome (AIDS) developed acute vomiting, diarrhea, and periumbilical pain which subsequently localized to the right lower quadrant. Her past history was significant for multiple
Jumper C, Weems JJ, Lettau LA. Typhlitis and HIV. Ann Intern Med. ;117:698. doi: 10.7326/0003-4819-117-8-698_1
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Published: Ann Intern Med. 1992;117(8):698.
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