000127988 001__ 127988
000127988 005__ 20240319081032.0
000127988 0247_ $$2doi$$a10.17235/reed.2022.8546/2021
000127988 0248_ $$2sideral$$a134991
000127988 037__ $$aART-2022-134991
000127988 041__ $$aeng
000127988 100__ $$aEspina Cadena, Silvia
000127988 245__ $$aCytomegalovirus associated rectal ulcer as manifestation of primary HIV infection
000127988 260__ $$c2022
000127988 5060_ $$aAccess copy available to the general public$$fUnrestricted
000127988 5203_ $$aWe present the case of a 40-year-old male sent for fatigue, mild weight loss and rectal bleeding for 2 months, neither fever nor diarrhea. He referred unprotected intercourse. Blood test revealed mild elevation of transaminases. We requested serologies, with positive CMV IgG and CMV plasma levels of 47UI/ml (PCR), and a negative result of the rest of hepatotropic viruses. Abdominal ultrasound was normal and during colonoscopy we observed an ulcer in lower rectum, with negative biopsies for malignancy and a positive immunohistochemistry (IHC) for CMV. We amplified the serologic analysis and detected positive antibodies for the human immunodeficiency virus (HIV), with a viral load of 50500 copies/ml, negative p24 antigen and CD4+ cell count of 900 cells/mm3 (30%). Rest of serologies and triple-site testing were negative. We referred the patient to the infectious disease consultation and they started antiretroviral therapy (ART). We decided a watchful waiting approach for the rectal ulcer with close endoscopic follow-up, with early healing and complete resolution.
000127988 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000127988 590__ $$a2.0$$b2022
000127988 591__ $$aGASTROENTEROLOGY & HEPATOLOGY$$b81 / 93 = 0.871$$c2022$$dQ4$$eT3
000127988 592__ $$a0.269$$b2022
000127988 593__ $$aMedicine (miscellaneous)$$c2022$$dQ3
000127988 593__ $$aGastroenterology$$c2022$$dQ3
000127988 594__ $$a1.9$$b2022
000127988 655_4 $$ainfo:eu-repo/semantics/other$$vinfo:eu-repo/semantics/publishedVersion
000127988 700__ $$adel Valle Sanchez, Elena
000127988 700__ $$0(orcid)0000-0003-4061-9409$$aMartínez Santos, Yolanda$$uUniversidad de Zaragoza
000127988 700__ $$aBadía Martínez, María
000127988 700__ $$aCamo Monterde, Patricia
000127988 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000127988 773__ $$g114, 5 (2022), 308-309$$pRev. esp. enferm. dig.$$tREVISTA ESPANOLA DE ENFERMEDADES DIGESTIVAS$$x1130-0108
000127988 8564_ $$s954059$$uhttps://zaguan.unizar.es/record/127988/files/texto_completo.pdf$$yVersión publicada
000127988 8564_ $$s2387193$$uhttps://zaguan.unizar.es/record/127988/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000127988 909CO $$ooai:zaguan.unizar.es:127988$$particulos$$pdriver
000127988 951__ $$a2024-03-18-17:10:46
000127988 980__ $$aARTICLE