SAVED
File name .JPG
File alt. text
Image should be px wide x px tall.
Select Image
home - Miscellaneous - Infection - GI AIDS Written by Dr Sebastian Zeki

GI AIDS

RUQP/fever/malaise Very raised ALP with normal bilirubin On ERCP - Papillary stenosis - Intrahepatic sclerosing cholangitis Causes -Cryptosporidium Microsporidia CMV MAC Cyclospora NHL Kaposi's Diagnosed by brush duodenal mucosa Cryptospordia (severe, most common) - swimming pools/lakes Microsporidia ("Merant inclusions") Giardia Viruses Causes: Pentamidine, DDI, DDC CMV, HSV, LAC, TB (needs pancreatic biopsy - difficult) Hepatic conditions: Granulomatous hepatitis. Micro/macro vesicular hepatosteatosis. Diffuse hepatocellular injury. Sclerosing cholangitis. Shigella Salmonella Campylobacter C. diff. CMV (in 40% in Wrights: only) Treat with Valganciclovir/Adofavir/Phoscarnet/Ganciclovir - Pathogen found in 50 to 85% of AIDS diarrhoea regardless of CD-4 - If shigella, salmonella or campylobacter nega-tive then for endoscopy. Cause: Bartonella - multiple liver cysts Treatment: Doxycycline/Erythromycin Clinical presentation: fever, weight loss, abdominal pain, reddish skin papules Viral: CMV/HSV (volcano crater ulcers)/EBV Fungal: histoplasmosis, cryptococcus Bacterial: MAI, TB, Nocardia, Actinomyces Tumours: NHL, Kaposi's, cancer, lymphoma Drugs: HAART Idiopathic With oesophageal problems give empirical candida treatment If doesn't resolve quickly then for OGD GI tract and AIDS AIDS cholangiopathy Biliary peliosis hepatitis (BPH) Enteritis: MCC Colitis Pancreatitis Oesophageal ulceration Written by Dr Sebastian Zeki

Related Stories

Postbiotics as Potential Promising Tools for SARS-COV-2 Disease Adjuvant Therapy

Safety and immunogenicity studies in animal models support clinical development of a bivalent norovirus-like particle vaccine produced in plants

Effectiveness of Live-Attenuated Genotype III Japanese Encephalitis Viral Vaccine against Circulating Genotype I Viruses in Swine

Characterization of the In Vitro and In Vivo Efficacy of Baloxavir Marboxil against H5 Highly Pathogenic Avian Influenza Virus Infection

Helicobacter pylori infection is not associated with portal hypertension-related gastrointestinal complications: A meta-analysis