Acalculous Cholecystitis and Cytomegalovirus Infection in the Acquired Immunodeficiency Syndrome
Authors: HYMIE KAVIN
Journal: Annals of Internal Medicine (1986)

Brief Reports1 January 1986Acalculous Cholecystitis and Cytomegalovirus Infection in the Acquired Immunodeficiency SyndromeHYMIE KAVIN, M.D., RICHARD B. JONAS, M.D., LOKENDRA CHOWDHURY, M.D., SHERWIN KABINS, M.D.HYMIE KAVIN, M.D., RICHARD B. JONAS, M.D., LOKENDRA CHOWDHURY, M.D., SHERWIN KABINS, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-104-1-53 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptAbdominal 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 withPneumocystis cariniipneumonia; 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....References1. POTTERDANFORTHMACHERLONGOSTEWARTMASUR DDADLH. Evaluation of abdominal pain in the AIDS patient. Ann Surg. 1983;199:332-9. CrossrefGoogle Scholar2. GLENN F. Acute acalculous cholecystitis. Ann Surg. 1979;189:458-65. MedlineGoogle Scholar3. LONGHEIMBACHCARRICO TDC. Acalculous cholecystitis in critically ill patients. Am J Surg. 1978;136:31-6. CrossrefMedlineGoogle Scholar4. RAMANNABRACHMANTANASESCUBERMANWAXMAN LMDDA. Cholescintigraphy in acute acalculous cholecystitis. Am J Gastroenterol. 1984;79:650-3. MedlineGoogle Scholar5. FRIEDMAN H. Cytomegalovirus: subclinical infection or disease [Editorial]? Am J Med. 1981;70:215-7. CrossrefMedlineGoogle Scholar6. ROSENHAJDU PS. Cytomegalovirus inclusion disease at autopsy of patients with cancer. Am J Clin Pathol. 1971;55:749-56. CrossrefMedlineGoogle Scholar7. LEVINEWARNERJOHNSON RNC. Cytomegalic inclusion disease in the gastrointestinal tract of adults. Ann Surg. 1964;159:37-48. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Michael Reese Hospital and Medical Center University of Chicago Chicago, Illinois. 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SCHNEIDERMAN, M.D., JOHN P. CELLO, M.D., FAYE C. LAING, M.D.Cytomegalovirus and Acute CholecystitisALEJO ERICE, M.D., HENRY H. BALFOUR Jr., M.D.Campylobacter Bacteremia, Cholecystitis, and the Acquired Immunodeficiency SyndromeARTHUR P. WHEELER, M.D., CLARK R. GREGG, M.D.Biliary Tract Obstruction in the Acquired Immunodeficiency SyndromeSTEPHEN J. MARGULIS, M.D., CHRISTINE L. HONIG, M.D., ROSEMARY SOAVE, M.D., ANTONIO F. GOVONI, M.D., JANET A. MOURADIAN, M.D., IRA M. JACOBSON, M.D. 1 January 1986Volume 104, Issue 1Page: 53-54KeywordsAIDSCytomegalovirus infectionInterleukinsKaposi sarcomaLymphomaNauseaOpportunistic infectionsPneumocystis carinii pneumoniaVomitingWeight loss Issue Published: 1 January 1986 PDF downloadLoading ...