       Document 0043
 DOCN  M9460043
 TI    [Cytomegalovirus infection of the intestinal tract. Computed tomographic
       findings in AIDS patients]
 DT    9404
 AU    Engelbrecht V; Grutzner G; Mauss S; Schonlau R; Modder U; Institut fur
       Diagnostische Radiologie, Universitat Dusseldorf.
 SO    Radiologe. 1994 Feb;34(2):88-93. Unique Identifier : AIDSLINE
       MED/94188506
 AB    To check the value of computed tomography (CT) in the diagnosis of
       cytomegalovirus (CMV) infection of the intestine, CT findings in ten
       patients with coloscopically proven CMV infection were reviewed. All
       patients were chronically ill men with AIDS. In nine of the ten cases CT
       scans of the small intestine and/or colon disclosed abnormalities. The
       predominant alteration (9/9) was a symmetric wall thickening in the
       bowel segments involved (10-30 mm). The location and extent showed good
       agreement with the inflammatory areas seen on coloscopy. The cecum and
       terminal ileum were the regions most frequently affected. In seven of
       the nine patients with CT abnormalities CT revealed pericolonic
       inflammation, particularly around the cecum. Lymph nodes were increased
       but not enlarged. Comparison of the findings in intestinal CMV infection
       with those in other AIDS-related diseases suggests that CT may be to
       limit the differential diagnosis. Abdominal CT serves as suitable
       primary imaging modality for the initial evaluation of patients with
       AIDS and abdominal symptoms of unknown etiology.
 DE    Acquired Immunodeficiency Syndrome/*COMPLICATIONS/RADIOGRAPHY  Adult
       Cytomegalovirus Infections/*ETIOLOGY/RADIOGRAPHY  English Abstract
       Human  Intestinal Diseases/*ETIOLOGY/RADIOGRAPHY  Male  Middle Age
       Retrospective Studies  Tomography, X-Ray Computed  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

