Curbside Consultation of the Colon: 49 Clinical Questions

Brooks D. Cash, MD, FACP, CDR, MC, USN

Question 21: What Colonic Infections Are Associated With Aids? (continued)

Brian Mulhall, MD

Given the high-risk of infectious diarrhea in patients with human immunodeficiency virus, any patient with more than 1 week of diarrhea deserves appropriate workup.1 Diarrhea is defined as more than 3 bowel movements and more than 200 g of stool output per day. Especially in patients with abdominal pain, large volume diarrhea, hematochezia, or fevers and chills, an infectious process has to be strongly considered. Stool samples should be sent for fecal leukocytes, stool culture, fecal ova and parasites (x 3), Clostridium difficile (especially in patients currently or recently on antibiotics…