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home -
Miscellaneous -
Infection -
GI AIDS
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Written by Dr Sebastian Zeki
MCQs for this page
GI AIDS
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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
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