|
| Immune status | Age | Presentation | Endoscopy | Place of infection |
|
Case 1 | Immunocompetent | 37 | Abdominal pain (6 months), melena, fever | Ulcerated and elevated lesions | Sigma, blind and ileocecal valve |
Chavapradit and Angkasekwinai [4] | Immunosuppressive therapy | 64 | Abdominal pain | Inflammation of the mucosa, whitish exudates | Blind, ascending colon |
Eyer-Silva et al. [5] | HIV infection (CD4 10/mm3) | 34 | Abdominal pain (2 months), nausea and vomiting | High lesions flushed with central ulcer | Stomach |
Osawa and Singh [6] | Immunosuppressive therapy | 53 | Intermittent abdominal pain, fever, and diarrhea | Linear ulcer | Ileus terminal |
Sundar et al. [7] | HIV infection (ART not started) | 48 | Uncontrollable vomiting (3 days) | Macroscopic erosion | Stomach |
Liu [8] | AIDS | 54 | Fever, diarrhea, and fever (8 days) | Irregular ulcers, violet pigmented lesions | Stomach, duodenal bulb and second portion of the duodenum |
Musubire et al. [9] | HIV infection (CD4 5 cells/mL) | 37 | Abdominal pain fever | Lymphadenopathy | Ileus |
Girardin et al. [10] | HIV infection (3 cells/mL) | 26 | Epigastric pain (3 weeks), bilious vomiting, fever | Patched lesions, with whitish villi | Duodenum |
Cicora et al. [11] | Immunosuppressive therapy | 59 | Diarrhea | Unique ulcer | Large intestine |
Sciaudone et al. [3] | Immunocompetent | 26 | Abdominal pain, fever, diarrhea, and melena | Hyperemic mucosa, ulcer | Sigmoid colon |
Hokari et al. [12] | Primary biliary cirrhosis | 58 | Fever, diarrhea | Pseudopolyposis | Small and large intestine |
|
Association | Image | Complications | Management | | |
|
Lymphangiectasia | CT: small bowel edema | Without complications | Fluconazole 800 mg IV | | |
Crohn’s disease | Thickening and edema of cecum, ileocecal valve, and terminal ileum | Dissemination | Amphotericin B 0.7 mg/kg daily for 6 weeks. Fluconazole 200 mg/day for one year | | |
Meningoencephalitis | Not reported | Not reported | Amphotericin B followed by fluconazole | | |
Crohn’s disease | No significant changes | Dissemination | Amphotericin B followed by fluconazole 40 mg day (19 days) | | |
Herpes simplex type I | Not reported | Not reported | Amphotericin B | | |
Sepsis | Ulcer at the level of the antrum with central reddish ulceration | Multiorgan failure | Amphotericin B, fluconazole, pantoprazole IV | | |
Not reported | Ultrasound: thickening of the ileum wall. Rx abdominal: signs of perforation | Not reported | Not reported | | |
Transplanted kidney | Not reported | Not reported | Amphotericin B (8 days), fluconazole 800 mg daily (3 months) | | |
Not reported | CT: hypertrophic right lobe in liver, thickening of the wall of the cecum, and transverse colon | Not reported | Fluconazole 400 mg daily (1 week); 200 mg (5 weeks) | | |
Liver dysfunction, pneumonia | CT: intestinal distention, fluid accumulation | Multiorgan failure | Antibiotics | | |
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