title: A case report of small bowel perforation secondary to cytomegalovirus related immune reconstitution inflammatory syndrome in an AIDS patient.
abstract: Non-traumatic small bowel perforation is rare in adults but carries a high morbidity and mortality. The diagnosis is made on clinical suspicion, and the most common causes in developing countries are infectious diseases, being cytomegalovirus infection in immunocompromised patients the main etiology. We describe a patient with a recently diagnosed advanced stage HIV infection and an intestinal perforation associated with cytomegalovirus immune reconstitution inflammatory syndrome after highly active antiretroviral therapy initiation.
authors.affiliation: Infectious Diseases Service, Internal Medicine Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
authors.forename: Eva María
authors.initials: EM
authors.lastname: Gutiérrez-Delgado
authors.affiliation: Infectious Diseases Service, Internal Medicine Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
authors.forename: Hiram
authors.initials: H
authors.lastname: Villanueva-Lozano
authors.affiliation: Ophtalmology Service, Clinica Cuauhtémoc Moctezuma, Monterrey, Mexico.
authors.forename: Miguel J
authors.initials: MJ
authors.lastname: García Rojas-Acosta
authors.affiliation: Department of Pathological Anatomy and Cytopathology, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
authors.forename: Ivett C
authors.initials: IC
authors.lastname: Miranda-Maldonado
authors.affiliation: Infectious Diseases Service, Internal Medicine Department, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Monterrey, Mexico.
authors.forename: Javier
authors.initials: J
authors.lastname: Ramos-Jiménez
keywords: Cytomegalovirus; IRIS; Intestinal perforation; Non-traumatic perforation; Small bowel