Pancreatite da cryptosporidium parvum in pazienti con grave deficit immunitario correlato ad infezione da HIV

Translated title of the contribution: Cryptosporidium parvum pancreatitis in patients with severe immunodeficiency related to HIV infection

C. Calzetti, G. Magnani, D. Confalonieri, A. Capelli, S. Moneta, P. Scognamiglio, F. Fiaccadori

Research output: Contribution to journalArticle

Abstract

Up to the present, pancreatic complications due to cryptosporidium parvum infection have been described only in a few patients with acquired immunodeficiency syndrome (AIDS). We report our experience with 3 subjects with AIDS who presented with acute or chronic pancreatitis related to cryptosporidiosis. All 3 patients had abdominal pain resistant to analgesics, increased serum amylase and abnormalities at both sonography and computed tomography. Endoscopic retrograde cholangiopancreatography revealed papillary stenosis in all patients; one patient also had stenosis of the Wirsung duct. Cryptosporidium was found in both bile and stool samples in all patients, while viral cultures were negative, even in the 2 patients who had cytomegalovirus retinitis. Endoscopic sphincterotomy temporally relieved abdominal pain in all patients, but did not prevent either acute or recurrent pancreatic inflammation. Several antibiotic therapeutic protocols were ineffective against the parasite.

Translated title of the contributionCryptosporidium parvum pancreatitis in patients with severe immunodeficiency related to HIV infection
Original languageItalian
Pages (from-to)63-66
Number of pages4
JournalAnnali Italiani di Medicina Interna
Volume12
Issue number2
Publication statusPublished - 1997

ASJC Scopus subject areas

  • Internal Medicine

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    Calzetti, C., Magnani, G., Confalonieri, D., Capelli, A., Moneta, S., Scognamiglio, P., & Fiaccadori, F. (1997). Pancreatite da cryptosporidium parvum in pazienti con grave deficit immunitario correlato ad infezione da HIV. Annali Italiani di Medicina Interna, 12(2), 63-66.