1986
DOI: 10.7326/0003-4819-104-1-53
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Acalculous Cholecystitis and Cytomegalovirus Infection in the Acquired Immunodeficiency Syndrome

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Cited by 104 publications
(17 citation statements)
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“…CMV-related vasculitis inducing ischemic lesions has been well documented in other organs [105][106][107], and in particular the intestine [108][109][110]. A similar mechanism likely causes cholangiopathy in AIDS patients as CMV inclusions have been found in arterioles close to bile ducts [97] and in capillary endothelial cells of the gallbladder [97,100,101]. CMV infection of endothelial cells is currently believed to contribute to arterial lesions in immune competent or immune deficient patients (reviewed in Golden et al [111]).…”
Section: Aids-related Cholangiopathymentioning
confidence: 97%
See 1 more Smart Citation
“…CMV-related vasculitis inducing ischemic lesions has been well documented in other organs [105][106][107], and in particular the intestine [108][109][110]. A similar mechanism likely causes cholangiopathy in AIDS patients as CMV inclusions have been found in arterioles close to bile ducts [97] and in capillary endothelial cells of the gallbladder [97,100,101]. CMV infection of endothelial cells is currently believed to contribute to arterial lesions in immune competent or immune deficient patients (reviewed in Golden et al [111]).…”
Section: Aids-related Cholangiopathymentioning
confidence: 97%
“…In over 95% of cases, this latter form is associated with cytomegalovirus (CMV), cryptosporidia, or microsporidia infection, or with mixed infections with these agents [98]. The respective role of these agents has been debated [91,[99][100][101][102][103][104]. CMV-related vasculitis inducing ischemic lesions has been well documented in other organs [105][106][107], and in particular the intestine [108][109][110].…”
Section: Aids-related Cholangiopathymentioning
confidence: 99%
“…CMV infections of the biliary tract, especially CMV cholecystitis and acalculous cholecystitis, are diagnosed more often in patients with human immunodeficiency virus infection than in other immunocompromised patients. A total of 22 cases of CMV cholecystitis have been reported, including 11 patients with acquired immune deficiency syndrome, 3 with other transplantation (bone marrow, heart, and lung transplantation), and 8 with renal transplantation …”
Section: Discussionmentioning
confidence: 99%
“…There have been reports of acute acalculous cholecystitis due to Listeria monocytogenes, cytomegalovirus, and cryptosporidium, especially in severely immunocompromised patients (acquired immunodeficiency syndrome) or after bone marrow transplantation [6,11]. However, to the best of our knowledge, reports concerning V. cholerae as the cause of acute acalculous cholecystitis have not been published previously, as occurred in the present case [3], since the two patients reported in the medical literature [7], in whom the vibrions were isolated, were asymptomatic.…”
Section: Discussionmentioning
confidence: 99%