Cytomegalovirus Appendicitis in a Patient With Human Immunodeficiency Virus Infection: Case Report and Review of the Literature

Leigh A. Neumayer, Rosemary Makar, Neil M. Ampel, Charles F. Zukoski

Research output: Contribution to journalArticle

23 Scopus citations

Abstract

We report a case of chronic abdominal pain with subsequent development of acute right lower quadrant tenderness in a patient infected with the human immunodeficiency virus. Ultrasonography and computed tomography revealed an enlarged appendix. On subsequent laparotomy, the patient was found to have appendicitis due to cytomegalovirus. Six additional cases of this infection were identified in a review of the literature. The course of cytomegalovirus appendicitis in these patients was prolonged and atypical compared with noncompromised patients with acute appendicitis. Because perforation may occur, surgery is advocated when this diagnosis is suspected in the patient infected with human immunodeficiency virus.

Original languageEnglish (US)
Pages (from-to)467-468
Number of pages2
JournalArchives of Surgery
Volume128
Issue number4
DOIs
StatePublished - Apr 1993

ASJC Scopus subject areas

  • Surgery

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