[Sclerosing cholangitis with papillary stenosis in an HIV-infected patients with Cryptosporidium infection].
We report the case of a 46-year old HIV-infected patient who suffered from severe recurrent diarrhoea for 18 months. In stool cultures cryptosporidiae were identified. The cryptosporidial enteritis was unresponsive to therapy. In the further course of cryptosporidial infection the patient developed HIV-associated cholangitis with increasing upper abdominal pain, progredient laboratory cholestasis and morphological changes indicating posthepatic cholestasis. Papillary stenosis with erosive papilitis caused by cryptosporidia was diagnosed. Sphincterotomy significantly improved the clinical status of the patient. Cholangitis with associated crytosporidial infection in a HIV-infected patient ist discussed and necessary diagnostic and differential therapeutic approaches are described.
Medizinische Klinik und Poliklinik, Heinrich Heine Universität Düsseldorf.
H
H
Jablonowski
H
H
Szelényi
K
K
Becker
H J
HJ
Lübke
F
F
Borchard
G
G
Strohmeyer
K J
KJ
Hengels
D017088:AIDS-Related Opportunistic Infections / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D014670:Ampulla of Vater / Q000473:pathology; D002760:Cholangiopancreatography, Endoscopic Retrograde; D015209:Cholangitis, Sclerosing / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D001651:Cholestasis, Extrahepatic / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D003049:Coccidiostats / Q000008:administration & dosage; D003131:Combined Modality Therapy; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D003457:Cryptosporidiosis / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D006801:Humans; D008111:Liver Function Tests; D008297:Male; D008875:Middle Aged; D015282:Octreotide / Q000008:administration & dosage; D016717:Sphincterotomy, Endoscopic
D003049:Coccidiostats; D015282:Octreotide
Sklerosierende Cholangitis mit Papillenstenose bei einem HIV-infizierten Patienten mit Cryptosporidieninfektion.