Complications of the Acquired Immunodeficiency Syndrome
Authors: B. CLOTET
Journal: Annals of Internal Medicine (1986)

Letters and Corrections1 May 1986Complications of the Acquired Immunodeficiency SyndromeB. CLOTET, M.D., M. GRIFOL, M.D., J. BOIX, M.D., J. JUNCA, M.D., M. FOZ, M.D., M. RIBAS, M.D.B. CLOTET, M.D., M. GRIFOL, M.D., J. BOIX, M.D., J. JUNCA, M.D., M. FOZ, M.D., M. RIBAS, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-104-5-726 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptTo the editor: A recent article by Tavitian and colleagues (1) concerns the diagnosis and treatment of esophageal candidiasis in patients with the acquired immunodeficiency syndrome (AIDS). The authors initiate therapy if the patient has oral thrush and symptoms of esophageal disease. Endoscopy is reserved for confirmation of esophageal candidiasis in patients who continue to have symptoms despite antifungal therapy.Esophageal candidiasis may be asymptomatic and not associated with oral thrush. We have examined, at admission, 24 patients with AIDS-related complex using endoscopy as a staging procedure for a research protocol. No patient had oral candidiasis or symptoms of esophageal disease. In 4 patients (17%), esophagoscopy showed dense plaques of white exudate. Cytologic examination of esophageal...References1. TAVITIAN A, RAUFMAN J, and ROSENTHAL L. Oral candidiasis as a marker for esophageal candidiasis in the acquired immunodeficiency syndrome. Ann Intern Med. 1986;104:54-5. LinkGoogle Scholar2. KODSI B, WICKREMESINGHE P, KOZINN P, ISWARA K, and GOLDBERG P. Candida esophagitis: a prospective study of 27 cases. Gastroenterology. 1976;71:715-9. CrossrefMedlineGoogle Scholar1. MASUR H, SHELHAMER J, KOVACS J, PARRILLO J, and OGNIBENE F. Infectious complications of AIDS. In: DEVITA VT JR, HELLMAN S, ROSENBERG SA, eds. AIDS: Etiology, Diagnosis, Treatment, and Prevention, Philadelphia: J. B. Lippincott Company; 1985:162. Google Scholar2. REAL F, GOLD J, KROWN S, and ARMSTRONG D. Listeria monocytogenes bacteremia in the acquired immunodeficiency syndrome [Letter]. Ann Intern Med. 1984;101:883-4. LinkGoogle Scholar3. NIEMAN R and LORBER B. Listeriosis in adults: a changing pattern: report of eight cases and review of the literature 1968-78. Rev Infect Dis. 1980;2:207-27. CrossrefMedlineGoogle Scholar4. WATSON G, FULLER T, ELMS J, and KLUGE R. Listeria cerebritis, relapse of infection in renal transplant patients. Arch Intern Med. 1978;138:83-7. CrossrefMedlineGoogle Scholar1. FELSENSTEIN D, D'AMICO D, and HIRSCH M. Treatment of Cytomegalovirus retinitis with 9-[2-hydroxy-1-(hydroxymethyl)ethoxymethyl] guanine. Ann Intern Med. 1985;103:377-80. LinkGoogle Scholar2. FREEDMAN A, ORELLANA J, and FREEMAN W. Cytomegalovirus retinitis: a manifestation of the acquired immune deficiency syndrome (AIDS). Br J Ophthalmol. 1983;67:372-80. CrossrefMedlineGoogle Scholar3. POLLARD R, EGBERT P, GALLAGHER J, and MERIGAN T. Cytomegalovirus retinitis in immunocompromised hosts: I. Natural hosts and effects of treatment with adenine arabinoside. Ann Intern Med. 1980;93:655-64. LinkGoogle Scholar4. BACH M, BAGWELL S, KNAPP N, DAVIS K, and HEDSTROM P. 9-(1,3-Dihydroxy-2-propoxymethyl)guanine for cytomegalovirus infections in patients with acquired immunodeficiency syndrome. Ann Intern Med. 1985;103:381-2. LinkGoogle Scholar5. HOLLAND G, GOTTLIEB M, and YEE R. Ocular disorders associated with a new severe acquired cellular immune deficiency syndrome. Am J Ophthalmol. 1982;93:393-402. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAuthors: B. CLOTET, M.D.; M. GRIFOL, M.D.; J. BOIX, M.D.; J. JUNCA, M.D.; M. FOZ, M.D.; M. RIBAS, M.D.Affiliations: Hospital de Badalona "Germans Trias i Pujol;" Badalona, Barcelona Spain PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byBacterial and Fungal InfectionsHuman listeriosis in Britain, 1967–85, a summary of 722 cases: 2. Listeriosis in non-pregnant individuals, a changing pattern of infection and seasonal incidenceListeria monocytogenes meningitis in the acquired immune deficiency syndrome—limitations of conventional typing methods in tracing a foodborne sourceNeurological complications of infection with human immunodeficiency virus type 1Herpesvirus Infections (Cytomegalovirus, Herpes Simplex Virus, Varicella-Zoster Virus)Therapy and Prevention of Cytomegalovirus InfectionsListeriosis: An uncommon opportunistic infection in patients with acquired immunodeficiency syndrome 1 May 1986Volume 104, Issue 5Page: 726-727KeywordsAIDSAIDS related complexAntifungalsCandidiasisEndoscopy ePublished: 1 December 2008 Issue Published: 1 May 1986 PDF downloadLoading ...