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Am J Case Rep ; 16: 536-41, 2015 Aug 14.
Artigo em Inglês | MEDLINE | ID: mdl-26277259

RESUMO

BACKGROUND: Cytomegalovirus (CMV) is a common opportunistic pathogen in patients with HIV. It is also a major cause of gastrointestinal ulcers in patients with acquired immunodeficiency syndrome (AIDS). CMV pseudotumor in the stomach is a rare cause of digestive tract obstruction. CASE REPORT: In this study we report a male patient infected with HIV in 2002. In 2014 he evolved C3 stage AIDS with pre-pyloric gastric ulcer which provoked deformity and pseudotumoral aspect of the gastric outlet. Endoscopic biopsy confirmed CMV infection. He underwent Roux-en-Y gastroenteroanastomosis with good recovery. CONCLUSIONS: CMV infection should be considered as an agent in gastric lesions in HIV-infected patients. Roux-en-Y gastroenteroanastomosis is a surgical option for this group of patients, allowing improvements in quality of life and decreasing risks of perioperative complications.


Assuntos
Infecções Oportunistas Relacionadas com a AIDS/diagnóstico , Infecções por Citomegalovirus/diagnóstico , Citomegalovirus , Obstrução da Saída Gástrica/virologia , Infecções Oportunistas Relacionadas com a AIDS/terapia , Adulto , Infecções por Citomegalovirus/terapia , Obstrução da Saída Gástrica/diagnóstico , Obstrução da Saída Gástrica/terapia , Humanos , Masculino
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