Esophageal ulceration due to cytomegalovirus infection in a patient with acute retroviral syndrome.
Opportunistic infections during primary infection with human immunodeficiency virus type 1 have occasionally been reported in the medical literature, and those caused by cytomegalovirus have tended to be severe and prolonged. We describe a 40-year-old man who had acute retroviral syndrome complicated by a severe cytomegalovirus-induced esophageal ulceration, which was successfully treated with total parenteral nutrition and ganciclovir in addition to highly active antiretroviral therapy.
Vietri
Nicholas J
NJ
Infectious Disease Service, Brooke Army Medical Center, Fort Sam Houston, TX 78234, USA. nicholas.vietri@cen.amedd.army.mil
Skidmore
Peter J
PJ
Dooley
David P
DP
D017088:AIDS-Related Opportunistic Infections / Q000188:drug therapy / Q000821:virology*; D000208:Acute Disease; D000328:Adult; D023241:Antiretroviral Therapy, Highly Active; D003586:Cytomegalovirus Infections / Q000188:drug therapy / Q000209:etiology*; D004935:Esophageal Diseases / Q000188:drug therapy / Q000209:etiology / Q000821:virology*; D005260:Female; D015658:HIV Infections / Q000150:complications* / Q000188:drug therapy; D006801:Humans