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HIV1/AIDS-associated diarrhea
Etiology:
- acute/chronic
- Campylobacter
- Salmonella
- Shigella
- Giardia lamblia
- Entamoeba histolytica (rare)
- wasting
- Giardia lamblia
- Cryptosporidium parvum
- Microsporidia
- Septata intestinalis
- Enterocytozoon bieneusi
- Isospora belli (rare)
- Entamoeba histolytica (rare)
- Cyclospora (rare)
- associated with lymphadenopathy, fever, weight loss
- Mycobacterium avium
- serum alkaline phosphatase often elevated
- CD4 count < 50/uL
- Mycobacterium tuberculosis
- Mycobacterium kansasii
- Histoplasma capsulatum
- lymphoma
- colonic
- Clostridium difficile
- cytomegalovirus (CMV colitis)
- adenovirus
- Mycobacterium avium complex
- Histoplasma capsulatum
Laboratory:
- chronic diarrhea
- evalute stool for Cryptosporidium, Cyclospora. microsporidia, Giardia, ova & parasites, fecal leukocytes & C difficile toxin
- blood cultures for enteric pathogens & Mycobacterium avium intracellulare if febrile or CD4 count < 50/uL [1]
Related
Acquired Immuno-Deficiency Syndrome (HIV infection stage 3, AIDS)
General
HIV1/AIDS-associated gastrointestinal disorder (includes HIV1-associated diarrhea)
diarrhea
References
- NEJM Knowledge+ Gastroenterology