       Document 1009
 DOCN  M9621009
 TI    [Acalculous cholecystitis and intestinal cryptosporidiosis: frequent
       association in HIV patients]
 DT    9602
 AU    Salvador Grande F; Saiz Monzon L; De la Torre P; Yuguero del Moral L;
       Lorenzo Gonzalez JF; Mijan de la Torre A
 SO    Rev Esp Enferm Dig. 1995 Aug;87(8):593-6. Unique Identifier : AIDSLINE
       MED/96059227
 AB    Five cases of acalculous cholecystitis associated with Cryptosporidium
       intestinal infection in HIV infected patients are reported. Clinical,
       Biological and Microbiological features as well as imaging studies are
       described. All the patients were males. Risk factors for HIV infection
       included previous I.V. drug abuse (3), homosexuality (1) and unknown
       (1). On admission a similar history of weight loss, fever, abdominal
       pain, diarrhea, anorexia and asthenia, together with biological data of
       cholestasis, was present in all patients. Ultrasound studies showed a
       distended gallbladder without calculi and a thickened wall, the bile
       duct being dilated in four of five cases. Cryptosporidium were found in
       stool specimens of all patients as well as histologically in one of two
       patients who underwent surgery while CMV was shown in the other one.
       Endoscopic retrograde cholangiography was performed in four cases
       showing a congestive, edematous and protruded papila in three patients,
       being normal in the fourth with a choledocal stenosis.
 DE    Adult  AIDS-Related Opportunistic Infections/*COMPLICATIONS
       Cholecystitis/*COMPLICATIONS  Cryptosporidiosis/*COMPLICATIONS  English
       Abstract  Human  HIV Seropositivity/*COMPLICATIONS  Male  Middle Age
       Retrospective Studies  JOURNAL ARTICLE

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

