Year 2023 / Volume 115 / Number 4
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Gastrointestinal infection by Mycobacterium avium with an unusual endoscopic presentation

190-191

DOI: 10.17235/reed.2022.8845/2022

Gina Patricia de Lima Piña, Juan Carrascosa Gil, Luis Alfonso Díaz Galvis, Cristina Fuertes Jiménez,

Abstract
A 38-year-old male with medical history of HIV group C3 with voluntary abandonment of antiretroviral therapy, was hospitalized due to general deterioration, abdominal pain, diarrhea and rectal bleeding without signs of acute abdomen. The patient presented anemia, renal and hepatic dysfunction, and metabolic acidosis. Abdominal CT and CT angiography were performed without observing signs of perforation or active bleeding. In the same year, he was also diagnosed of intestinal Cryptosporidiosis, cutaneous Kaposi's sarcoma and disseminated infection by Mycobacterium avium (MA) with lung, liver and bone marrow involvement. Panendoscopy was performed, showing violaceous lesions on the soft palate. In the stomach and duodenum, he presented multiple, large, well-defined and occasionally confluent red-violet lesions Colonoscopy did not show macroscopic alterations.
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References
1. Corti M, Palmero D. Mycobacterium avium complex infection in HIV/AIDS patients. Expert Rev Anti Infect Ther. 2008; 6 (3):351-63.
2. Carbó J. et al. Gastrointestinal infection caused by Mycobacterium avium complex in patients with AIDS. Rev Esp Enferm Dig 2001; 93(9): 606-614.
3. Furkan U. Ertem, Doug Hartman, and Randall E. Brand. Unusual Infection of the Small Intestine: Mycobacterium avium Complex. Clin Gastroenterol Hepatol. 2021 Mar;19 (3):e26. DOI: 10.1016/j.cgh.2020.01.043
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de Lima Piña G, Carrascosa Gil J, Díaz Galvis L, Fuertes Jiménez C. Gastrointestinal infection by Mycobacterium avium with an unusual endoscopic presentation. 8845/2022


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Publication history

Received: 07/04/2022

Accepted: 12/04/2022

Online First: 26/04/2022

Published: 03/04/2023

Article Online First time: 19 days

Article editing time: 361 days


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