Complicated Cases in GI

Anthony Kalloo, MD; Jonathan M. Buscaglia, MD

Chapter 10: Aids And Nodular Gastric Antritis (continued)

Eun Ji Shin, MD

A 57-year-old man presented to the emergency room complaining of a 1-week history of nausea, vomiting, dysphagia, and epigastric pain. He carried a diagnosis of HIV with a CD4 count of 65 cells/mm3 and viral load of 111 copies/mL and was taking highly active antiretroviral therapy (HAART) therapy. He had also experienced some nonspecific fatigue and generalized weakness with lightheadedness, without any frank syncopal episodes. He denied any significant weight loss during this period. He had a prior episode of esophageal candidiasis and cytomegalovirus (CMV) gastritis, which was successfully…