Salguero Cámara M E, de Reyes Lartategui S, Daban Collado E, Ramos Ruiz J L, Elosegui Martínez F
Servicio de Medicina Interna, Hospital Princesa de España, Jaén.
An Med Interna. 1998 Mar;15(3):155-6.
We report a case of acalculous cholecystitis in an AIDS patient, that appeared with insidious onset, abdominal right upper quadrant pain and fever. Cholecystectomy was performed and CMV inclusions were observed in tissue sections. CMV acalculous cholecystitis is an uncommon condition associated to the acquired immunodeficiency syndrome. It should be considered, especially when abdominal pain and fever are present in marked immunosuppressed AIDS patients. Unfortunately, a limited experience in treatment, either medical or surgical, was reported. In our case, the response to surgical procedure was successful, disappearing the abdominal pain and the fever. The patient refused both ganciclovir and foscarnet therapy.
我们报告一例艾滋病患者的无结石性胆囊炎，其起病隐匿，伴有右上腹疼痛和发热。实施了胆囊切除术，在组织切片中观察到巨细胞病毒包涵体。巨细胞病毒无结石性胆囊炎是一种与获得性免疫缺陷综合征相关的罕见病症。尤其在明显免疫抑制的艾滋病患者出现腹痛和发热时应考虑此病。遗憾的是，关于其药物或手术治疗的经验有限。在我们的病例中，手术治疗取得成功，腹痛和发热消失。患者拒绝了更昔洛韦和膦甲酸钠治疗。
