Cytomegalovirus colitis in AIDS: radiographic findings in 11 patients.

Abstract:

:Radiographic findings in 11 proved cases of cytomegalovirus (CMV) colitis were reviewed and correlated with colonoscopic and pathologic findings. Patients were chronically ill homosexual men with multiple systemic opportunistic infections. Endoscopies showed focal or diffuse inflammation, hemorrhagic plaques, and superficial colonic ulcers. Biopsies revealed inflammatory cells associated with cytoplasmic and intranuclear inclusion bodies. Barium enema examinations showed mucosal granularity, superficial erosions, thickened folds, and spasticity. Disease was either diffuse (four patients) or segmental (two patients), or it involved the cecum exclusively (three patients). Two patients had normal barium enema studies. Computed tomography scans in two patients demonstrated marked colonic wall thickening and mucosal ulcerations. In the homosexual population with acquired immunodeficiency syndrome, CMV colitis should be part of the differential diagnosis of diffuse colitis, segmental colitis, or typhlitis.

journal_name

Radiology

journal_title

Radiology

authors

Balthazar EJ,Megibow AJ,Fazzini E,Opulencia JF,Engel I

doi

10.1148/radiology.155.3.2988010

subject

Has Abstract

pub_date

1985-06-01 00:00:00

pages

585-9

issue

3

eissn

0033-8419

issn

1527-1315

journal_volume

155

pub_type

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