Radiology case of the month. Nausea, vomiting, and diarrhea in a patient with hepatitis C and acquired immunodeficiency syndrome (AIDS). Diffuse, severe gastric-wall thickening, consistent with edema.
The patient is a 42-year-old male with a past medical history of HIV/AIDS (his most recent CD4 count, four months before admission, was 19) and hepatitis C who presented to the Emergency Department complaining of one week of persistent nausea, vomiting, and diarrhea. His admit labs were as follows: hemoglobin of 11.8, hematocrit of 35, total protein of 6.0, albumin of 1.6, total bilirubin of 2.3, aspartate aminotransferase (AST) of 141, alkaline phosphatase (ALP) of 146, and alanine aminotransferase (ALT) of 31. Computed tomography (CT) images of the abdomen and pelvis with contrast were obtained (Figures 1 - 4).
LSU Health Sciences Center, New Orleans, USA.
Christian
C
Mabry
John
J
Hutchings
Charles
C
Sanders
Harold
H
Neitzschman
D000163:Acquired Immunodeficiency Syndrome / Q000097:blood / Q000150:complications* / Q000503:physiopathology; D000328:Adult; D000410:Alanine Transaminase / Q000097:blood; D000469:Alkaline Phosphatase / Q000097:blood; D001219:Aspartate Aminotransferases / Q000097:blood; D001663:Bilirubin / Q000097:blood; D003967:Diarrhea / Q000097:blood / Q000150:complications* / Q000503:physiopathology; D004487:Edema / Q000097:blood / Q000150:complications / Q000503:physiopathology; D006400:Hematocrit; D006454:Hemoglobins; D006526:Hepatitis C / Q000097:blood / Q000150:complications* / Q000503:physiopathology; D006801:Humans; D007413:Intestinal Mucosa / Q000000981:diagnostic imaging* / Q000503:physiopathology; D008297:Male; D009325:Nausea / Q000097:blood / Q000150:complications* / Q000503:physiopathology; D011506:Proteins; D014057:Tomography, X-Ray Computed / Q000379:methods; D014839:Vomiting / Q000097:blood / Q000150:complications* / Q000503:physiopathology
D006454:Hemoglobins; D011506:Proteins; D001219:Aspartate Aminotransferases; D000410:Alanine Transaminase; D000469:Alkaline Phosphatase; D001663:Bilirubin