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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 330:1218-1225 April 28, 1994 Number 17
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Case 17-1994— A 38-Year-Old Man with AIDS, Sudden Abdominal Pain, and Bleeding from the Rectum
Deborah J. Cotton, and Sigrid Regauer

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Presentation of Case

A 38-year-old man with the acquired immunodeficiency syndrome (AIDS) was admitted to the hospital because of abdominal pain and bleeding from the rectum.

Two-and-a-half years earlier Pneumocystis carinii pneumonia had developed, and the diagnosis of AIDS was established. The patient recovered and entered a study that compared zidovudine with didanosine. Eight months before entry he returned to the hospital because of chronic fatigue and was found to have cytomegalovirus colitis. Ganciclovir was begun, and he was discharged improved.

Two months before entry the patient was readmitted because of worsening fatigue, fever, and exertional dyspnea. Radiographs of the chest showed ill-defined . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Deborah J. Cotton's Diagnoses

Pathological Discussion

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References




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