[HIV infection, fever and cholestasis]

Publication

[HIV infection, fever and cholestasis]

Journal Paper/Review - Jun 14, 1994

Giezendanner S, Zala G, Jost J, Greminger Peter, Meyenberger Christa

Units

Allgemeine Innere Medizin | Hausarztmedizin und Notfallmedizin, Gastroenterology/Hepatology

PubMed

8023060

Citation

Giezendanner S, Zala G, Jost J, Greminger P, Meyenberger C. [HIV infection, fever and cholestasis]. Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis 1994; 83:757-60.

Type

Journal Paper/Review (English)

Journal

Schweizerische Rundschau für Medizin Praxis = Revue suisse de médecine Praxis 1994; 83

Publication Date

Jun 14, 1994

Issn Print

1013-2058

Pages

757-60

Brief description/objective

A 35-year-old Swiss woman with AIDS experienced fever, jaundice and cough. Laboratory evaluation revealed signs of an infection and cholestasis. The examination by ultrasound showed thickening of the intra- and extrahepatic bile ducts and gallbladder wall, without dilatation or stones. Endoscopic retrograde cholangiography demonstrated diffuse sclerosing cholangitis like lesions in the biliary tract and confirmed the diagnosis of a HIV related cholangiopathy. The cause was a cytomegalovirus infection as shown by liver biopsy with detection of cytomegalovirus early antigen. The treatment with ganciclovir was of some efficacy with improvement of jaundice.