Gastric Toxoplasmosis as the Presentation of Acquired Immunodeficiency Syndrome

2005 ◽  
Vol 129 (4) ◽  
pp. e87-e90 ◽  
Author(s):  
Mihai Merzianu ◽  
Steven M. Gorelick ◽  
Voltaire Paje ◽  
Donald P. Kotler ◽  
Corazon Sian
Keyword(s):  
Acquired Immunodeficiency Syndrome ◽  
English Literature ◽  
Human Immunodeficiency Virus Status ◽  
Old West ◽  
Immunosuppressed Patients ◽  
The Central Nervous System ◽  
Acquired Immunodeficiency ◽  
High Index Of Suspicion ◽  
Immunodeficiency Syndrome ◽  
Disseminated Disease

Abstract We report a case of a 39-year-old West African man with unknown human immunodeficiency virus status diagnosed with gastric toxoplasmosis as the presenting manifestation of acquired immunodeficiency syndrome. Toxoplasma gondii is common in severely immunosuppressed patients and most frequently involves the central nervous system, followed by the eye, myocardium and skeletal muscle, lungs, bone marrow, and peripheral blood. For unclear reasons, gastrointestinal involvement is exceedingly rare and occurs in the context of severe immunosuppression and disseminated disease. To our knowledge, this is the first report in the English literature of a patient with isolated, manifest gastric toxoplasmosis without evidence of concomitant cerebral or extracerebral involvement. It is important for both the clinician and the pathologist to maintain a high index of suspicion for toxoplasmosis in immunosuppressed patients presenting with nonspecific symptoms of gastritis and radiologic and endoscopic presence of thickened gastric folds with or without ulceration.

scholarly journals Fungal Mastoiditis in AIDS Patients: Reported Cases

2011 ◽  
Vol 15 (02) ◽  
pp. 245-248
Author(s):  
Flavia Silveira ◽  
Gabriel Bijos Faidiga ◽  
Tassiana do Lago ◽  
Camila Carrara Yassuda ◽  
Eduardo Tanaka Massuda ◽  
...  
Keyword(s):  
Case Report ◽  
Facial Nerve ◽  
Antifungal Therapy ◽  
Acquired Immunodeficiency Syndrome ◽  
Aids Patients ◽  
Aspergillus Fumigates ◽  
Immunosuppressed Patients ◽  
Acquired Immunodeficiency ◽  
Immunodeficiency Syndrome ◽  
Fatal Complications

Summary Introduction: Fungal mastoidits by Aspergillus fumigates predominantly occurs in immunosuppressed patients. Diagnosis is usually hard and disease is potentially fatal. Treatment is comprised of antifungal therapy, surgical debridement and immunosuppression correction. Case Report: This article reports a case of fungal mastoiditis in a patient with acquired immunodeficiency syndrome (AIDS). The treatment performed was that of surgery associated with antifungal therapy. The patient's facial nerve was not affected, what does not exclude potentially fatal complications of mastoiditis.

BK Virus Renal Infection in a Patient With the Acquired Immunodeficiency Syndrome

1999 ◽  
Vol 123 (9) ◽  
pp. 807-811 ◽  
Author(s):  
Manuela Nebuloni ◽  
Antonella Tosoni ◽  
Renzo Boldorini ◽  
Guido Monga ◽  
Luca Carsana ◽  
...  
Keyword(s):  
Acquired Immunodeficiency Syndrome ◽  
Renal Damage ◽  
Bk Virus ◽  
Transplant Patients ◽  
Immunosuppressed Patients ◽  
Acquired Immunodeficiency ◽  
Polymerase Chain ◽  
Immunodeficiency Syndrome ◽  
Inflammatory Infiltrates ◽  
Renal Infection

Abstract Background.—We describe herein a patient with the acquired immunodeficiency syndrome and renal failure due to biopsy-proven BK virus (BKV) infection. Three months after the diagnosis of the renal viral infection, his condition remained unchanged. Although BKV has previously been shown to be associated with ureteral stenosis and renal damage in renal transplant patients, to our knowledge, the literature contains only 3 cases describing the presence of BKV lesions in the kidneys of immunosuppressed patients who had not undergone transplantation. Methods.—The presence of BKV infection was demonstrated by means of histology, immunohistochemistry with polyclonal anti-SV40 antibody, immunoelectron microscopy, polymerase chain reaction, and enzymatic cleavage with BamHI. Results.—Histologic examination revealed interstitial inflammatory infiltrates and tubules with enlarged and eosinophilic nuclei. Conclusions.—The high frequency of latent BKV infection and its reactivation during immunosuppression suggest that the possibility of its involvement in renal damage should be considered in immunocompromised patients.

Central nervous system leiomyosarcoma in patients with acquired immunodeficiency syndrome

2000 ◽  
Vol 92 (4) ◽  
pp. 688-692 ◽  
Author(s):  
Ann M. Ritter ◽  
Barbara H. Amaker ◽  
R. Scott Graham ◽  
William C. Broaddus ◽  
John D. Ward
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Acquired Immunodeficiency Syndrome ◽  
Content Type ◽  
Barr Virus ◽  
The Central Nervous System ◽  
Histological Characteristics ◽  
Acquired Immunodeficiency ◽  
Epstein Barr ◽  
Immunodeficiency Syndrome

✓ Leiomyosarcomas (LMSs) of the central nervous system are extremely rare; however, they are becoming more prevalent in immunocompromised patients. The authors present the cases of two patients with acquired immunodeficiency syndrome: one with LMS of the thoracic vertebral body and the other with LMS originating from the region of the cavernous sinus. The epidemiological and histological characteristics of LMS and its association with latent Epstein—Barr virus are discussed, as well as the treatments for this neoplasm.

Septate fungal invasion in masked mastoiditis: a diagnostic dilemma

2006 ◽  
Vol 120 (3) ◽  
pp. 250-252 ◽  
Author(s):  
G Kuruvilla ◽  
A Job ◽  
J Mathew ◽  
A P Ayyappan ◽  
M Jacob
Keyword(s):  
Diabetic Patient ◽  
Acquired Immunodeficiency Syndrome ◽  
Literature Search ◽  
English Literature ◽  
Diabetic Patients ◽  
Rare Entity ◽  
Diagnostic Dilemma ◽  
First Case ◽  
Acquired Immunodeficiency ◽  
Immunodeficiency Syndrome

Invasive fungal mastoiditis is a rare entity, seen almost entirely in immunocompromized patients. It has been reported primarily in patients with leukaemia and more recently with acquired immunodeficiency syndrome. A literature search revealed only a few reports in diabetic patients, in whom the invasive fungus was identified as mucormycosis in all cases. We report the first case in the English literature of invasive septate fungal mastoiditis in a diabetic patient with intact tympanic membranes.

Kidney and Ureteral Disease during HIV Infection

1992 ◽  
Vol 59 (2) ◽  
pp. 46-49
Author(s):  
R. Musci ◽  
T. Meroni ◽  
M. Andres ◽  
O. De Cobelli ◽  
P. Larcher ◽  
...  
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Hiv Infection ◽  
Acquired Immunodeficiency Syndrome ◽  
Urogenital System ◽  
Hiv Virus ◽  
The Central Nervous System ◽  
Acquired Immunodeficiency ◽  
A Minor ◽  
Immunodeficiency Syndrome

Infection by Hiv virus affects the urogenital system in a minor percentage of cases in comparison to other organs such as the lungs, the central nervous system and the haemolymphopoietic system. In recent years however, with the continued spread of the disease, also urologists find themselves dealing with various urogenital pathologies that are presented in seropositive or fully-blown Aids patients. The Authors present their experience and describe the problems correlated to dealing with acquired immunodeficiency syndrome patients that are affected with urological pathologies.

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