Abstract
A 54-year-old man presented with a 6-week history of chronic diarrhea and weight loss of 11 kg after returning from a holiday in Thailand. The patient had a 9-year history of an untreated HIV infection. Despite treatment of a culture-proven Shigella enteritis and strongyloidiasis the symptoms persisted. Finally, cytomegalovirus (CMV) colitis was diagnosed by colonoscopy. The patient recovered completely after starting antiretroviral and valganciclovir treatment. An additional opportunistic infection with multiresistant pulmonary tuberculosis was diagnosed.
MeSH terms
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Anti-Retroviral Agents / administration & dosage
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Chronic Disease
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Colitis
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Cytomegalovirus Infections / complications*
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Cytomegalovirus Infections / diagnosis
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Cytomegalovirus Infections / drug therapy*
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Diarrhea / diagnosis
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Diarrhea / etiology*
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Diarrhea / prevention & control
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Ganciclovir / administration & dosage
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Ganciclovir / analogs & derivatives
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HIV Infections / chemically induced
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HIV Infections / complications*
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HIV Infections / drug therapy*
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Humans
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Male
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Middle Aged
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Thinness / diagnosis
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Thinness / etiology*
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Thinness / prevention & control
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Treatment Outcome
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Valganciclovir
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Weight Loss
Substances
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Anti-Retroviral Agents
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Valganciclovir
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Ganciclovir