HIV1/AIDS-associated gastrointestinal disorder

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HIV1/AIDS-associated gastrointestinal disorder (includes HIV1-associated diarrhea)

Etiology: 1) esophagitis & ulceration a) Candida b) Herpes simplex virus (HSV) c) cytomegalovirus (CMV) (late stage) d) aphthous ulcers e) retained pill ulcers (rare) 2) gastritis & ulceration a) cytomegalovirus (CMV) b) Herpes simplex virus (HSV) c) lymphoma 3) duodenal ulceration a) cytomegalovirus (CMV) b) aphthous ulceration (rare) 4) upper GI bleeding (small intestine) a) cytomegalovirus (CMV) b) Kaposi's sarcoma c) lymphoma (advanced disease) 5) HIV1/AIDS-associated diarrhea 6) proctitis a) Herpes simplex virus (HSV) b) cytomegalovirus (CMV) c) Chlamydia d) Neisseria gonorrhoeae e) other sexually transmitted bacterial pathogens 7) anal carcinoma associated with papillomavirus Laboratory: - chronic diarrhea (see HIV1/AIDS-associated diarrhea) - blood cultures for enteric pathogens & Mycobacterium avium intracellulare if febrile or CD4 count < 50/uL [1]

Acquired Immuno-Deficiency Syndrome (HIV infection stage 3, AIDS)

Specific

diarrhea in patients with AIDS HIV1/AIDS-associated diarrhea

General

complications in patients with HIV1 infection gastrointestinal disease

References

NEJM Knowledge+ Gastroenterology

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