ABSTRACT
Se presenta el caso de un varón de 49 años, sin antecedentes personales de interés salvo agresión sexual en 1996, que acude al Servicio de Urgencia del HGUGM por cuadro de diarrea de 6 meses de evolución, al que se añade fiebre de hasta 39ºC en los últimos 2 meses. Durante su ingreso es diagnosticado de infección por el Virus de la Inmunodeficiencia Humana (VIH), antigenemia para Citomegalovirus (CMV) de 70 células, y en el estudio de diarrea se objetiva CMV en cultivo celular de la biopsia de colon ,con colonoscopia normal. La colitis es la forma más frecuente de afectación del tubo digestivo por CMV en pacientes con infección por el VIH. No obstante, es poco frecuente como primera manifestación de Síndrome de Inmunodeficiencia Adquirida (SIDA), como ocurre en el caso que presentamos (AU)
We report a case of a male 49 years old, without clinical history, excepting rape in 1996, that was admitted to the Emergency Room of HGUGM because of diarrhea 6 months duration, plus fever (39ºC) in the last 2 months. He was diagnosed of infection by the Human Immunodeficiency Virus (HIV), with serum antigenemia (70cells), and colonic biopsy positives for Cytomegalovirus, and a normal colonoscopy. Cytomegalovirus colitis is the major etiologic infectious agent in patients with AIDS-associated diarrhea, although it can be the diagnostic index for AIDS in a few cases (AU)
Subject(s)
Male , Middle Aged , Humans , Diarrhea/etiology , Colitis/etiology , Acquired Immunodeficiency Syndrome/complications , AIDS-Related Opportunistic Infections , Cytomegalovirus Infections/complications , AIDS-Related Opportunistic Infections , Colitis , Cytomegalovirus Infections , Diarrhea , Acquired Immunodeficiency SyndromeABSTRACT
We report a case of a male 49 years old, without clinical history, excepting rape in 1996, that was admitted to the Emergency Room of HGUGM because of diarrhea 6 months duration, plus fever (39 degrees C) in the last 2 months. He was diagnosed of infection by the Human Immunodeficiency Virus (HIV), with serum antigenemia (70 cells), and colonic biopsy positives for Cytomegalovirus, and a normal colonoscopy. Cytomegalovirus colitis is the major etiologic infectious agent in patients with AIDS-associated diarrhea, although it can be the diagnostic index for AIDS in a few cases.
