| Perforation of the terminal ileum with cytomegalovirus vasculitis and Kaposi's sarcoma in a patient with acquired immunodeficiency syndrome. | |
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MedLine Citation:
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PMID: 2820074 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This case report documents a perforation of the terminal ileum in a 40-year-old white male homosexual with the acquired immunodeficiency syndrome. The perforation occurred at a site that had severe cytomegalovirus infection and was in close proximity to multiple nodules of Kaposi's sarcoma. The ileum showed multiple deep ulcers with large numbers of cytomegalovirus inclusions and vasculitis with infected endothelial cells, small-vessel thrombosis, focal disruption, and hemorrhage. We review the evidence that cytomegalovirus infection--and not Kaposi's sarcoma--was responsible for this perforation and, in light of the new medical therapy for such infections, should be regarded as an important cause of gastrointestinal perforation in patients with the acquired immunodeficiency syndrome. |
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Authors:
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G Burke; L Nichols; K Balogh; S Hammer; W Jensen; F Pomposelli; R Jenkins |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Surgery Volume: 102 ISSN: 0039-6060 ISO Abbreviation: Surgery Publication Date: 1987 Sep |
Date Detail:
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Created Date: 1987-10-02 Completed Date: 1987-10-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0417347 Medline TA: Surgery Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 540-5 Citation Subset: AIM; IM; X |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Acquired Immunodeficiency Syndrome
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complications*,
pathology Adult Cytomegalovirus Infections / complications*, pathology Humans Ileal Diseases / complications*, pathology Ileal Neoplasms / complications*, pathology Intestinal Perforation / complications*, pathology Male Sarcoma, Kaposi / complications*, pathology Vasculitis / complications*, pathology |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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