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Abdominal AIDS Imaging: Hepatic, Splenic, Biliary, and Pancreatic Manifestations

  • Richard M. Gore
  • Frank H. Miller
  • Vahid Yaghmai
  • Jonathan W. Berlin
  • Geraldine M. Newmark
Part of the Medical Radiology book series (MEDRAD)

Abstract

The liver, spleen, pancreas, and biliary tract are commonly affected by opportunistic infections, malignancy, and inflammatory disorders during the course of human immune deficiency virus (HIV) infection (Table 9.1). Clinical manifestations of involvement of these organs are protean and usually nonspecific, but it is important to establish a specific diagnosis promptly in these often critically ill patients (Tshibwabwa et al. 2000). Because of the limitations of physical and laboratory examinations, cross-sectional imaging studies are often obtained to clarify the clinical situation (DeToma et al. 1999; Wu et al. 1998). This chapter reviews the imaging spectrum of HIV-associated hepatosplenic and pancreaticobiliary disease.
Table 9.1

Hepatic splenic, biliary, and pancreatic disease associated with HIV infection

Infection

Bacterial

Salmonella

Rochalimaea

Mycobacterial

M. tuberculosis

M. avium intracellulan complex

M. xenopi

Viral

Cytomegalovirus

Hepatitis B, C, and D

Herpesvirus

Adenovirus

HIV

Fungal

Candida

Cryptococcus

Histoplasma

Aspergillus

Coccidia

Sporothrix

Protozoal

Pneumocystis

Cryptosporidia

Microsporidia

Leishmania

Toxoplasma

Neoplasms

Non-Hodgkin’s lymphoma

Kaposi’s sarcoma

Metastatic cancer of anal canal

Drug-related

Trimethoprim-sulfamethoxazole

Ketoconazole

Isoniazid

Rifampin

Zidovudine

Pentamidine

Diphenylhydantoin

Prochlorperazine

Didanosine

Fluconazole

Oxacillin

Dideoxyinosine

Keywords

Human Immune Deficiency Virus Acalculous Cholecystitis Peliosis Hepatis Intravenous Drug Abuser Human Immune Deficiency Virus Infection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2001

Authors and Affiliations

  • Richard M. Gore
    • 1
  • Frank H. Miller
    • 2
  • Vahid Yaghmai
    • 1
  • Jonathan W. Berlin
    • 1
  • Geraldine M. Newmark
    • 1
  1. 1.Department of Diagnostic RadiologyEvanston Northwestern HealthcareEvanstonUSA
  2. 2.Department of Radiology, Northwestern Memorial HospitalNorthwestern University Medical SchoolChicagoUSA

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