Topics:

HIV Infection and Worsening Diarrhea: What's Your Dx?

HIV Infection and Worsening Diarrhea: What's Your Dx?

A 54-year-old man with HIV infection presents with increasingly worsening diarrhea. His CD4 cell count is 32/µL. Upper endoscopy with duodenal biopsies is performed. Specimens reveal sheets of foamy macrophages in the lamina propria. Periodic acid–Schiff (PAS) and acid-fast bacillus stains are notable for rod-shaped organisms.

What is the most likely diagnosis?

a. Mycobacterium avium complex
b. Cytomegalovirus
c. Whipple disease
d. Tropical sprue

 Please click here for the answer and discussion.

Pages

 
Loading comments...

By clicking Accept, you agree to become a member of the UBM Medica Community.