Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 34: An Opportunistic Infection Masquerading As Crohn’s Disease (continued)

Priscilla Magno, MD

A 51-year-old Puerto Rican woman with a history of abdominal pain was referred for evaluation of abdominal pain. Past history included hypertension and heterosexually acquired HIV infection for which she had been receiving antiretroviral therapy since 1995. She had remained free of opportunistic infections or AIDS-defining conditions. Three months earlier, she was evaluated elsewhere for a 6-month history of recurrent episodes of diffuse abdominal pain and bloating. A colonoscopy had revealed an ascending colonic stricture and sigmoid aphthous ulcers. An assessment of Crohn’s disease…