Two case reports of gastrointestinal complications with AIDS

Abstract

We had two cases of gastrointestinal complications with AIDS (acquired immunodeficiency syndrome) . Case 1 : 70 year-old homosexual male. He admitted our hospital for his dyspnea. He was diagnosed as AIDS and pneumonia of pneumocystis carinii. During his treatment, he complained of epigastralgia, and received gastrointestinal endoscopy. He was diagnosed as Kaposi's sarcoma in the stomach, for an endoscopic finding of several protruded lesions with small red-colored spots on their surfaces in the stomach and immunohistopathological findings. Case 2 : 41 year-old homosexual male. He visited our hospital for candidiasis of the tongue and anal abscess. After admission he was diagnosed as AIDS. During the treatment, he complained of dysphasia, and received gastrointestinal endoscopy. He was diagnosed as CMV esophageal ulcers, for an endoscopic finding of wide deep ulcers in the middle esophagus and an immunohistopathological finding of intracellular inclusion bodies in the biopsy specimens. We have a chance to encounter AIDS and its complications on practice, getting increased in number. When AIDS patients have complaints of abdominal symptoms, endoscopy is very useful to check them and evaluate the clinical treatment. Even if asymptomatic, it is also very useful to check the malignancies associated with AIDS such as Kaposi's sarcoma.