Mycobacterium genavense specific mesenteritic syndrome in HIV-infected patients: a new entity of retractile mesenteritis?
Abdominal mesenteritis is a rare and poorly understood gastroenterological disease. Here, we report on two identical cases of Mycobacterium genavense associated retractile mesenteritis in HIV-positive patients. A literature search retrieved only few small retrospective studies, which characterize the clinical course of this seldom infection. We propose a pathogen-specific syndrome of retractile mesenteritis in HIV-positive patients linked to Mycobacterium genavense infection on the basis of our clinical observation and literature meta-analysis with duodenal wall thickening, central mesenterial mass and vascular complications.
aOrtenauklinikum Offenburg-Gengenbach, Klinik für Gastroenterologie, Hepatologie und Infektiologie, Ebertplatz, Offenburg bDepartment of Medicine, Albert-Ludwigs-University Center for Infectious Diseases and Travel Medicine, and IFB-Center for Chronic Immunodeficiency, University Hospital, HugstetterStrasse, Freiburg i.Br cOrtenauklinikum Achern, Medizinische Klinik/Infektiologie, Josef-Wurzler-Straße, Achern, Germany.
Johannes P
JP
Borde
Wolf-B
WB
Offensperger
Winfried V
WV
Kern
Dirk
D
Wagner
D000328:Adult; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D009161:Mycobacterium / Q000145:classification / Q000302:isolation & purification*; D009164:Mycobacterium Infections / Q000382:microbiology* / Q000473:pathology*; D015436:Panniculitis, Peritoneal / Q000209:etiology* / Q000473:pathology*; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed