The AIDS patient with abdominal pain: A new challenge for the emergency physician

Emergency Medicine Clinics of North America

Volumn 21, Issue 4, 2003, Pages 987-1015

  Slaven, Ellen M ^a   Lopez, Fred ^a   Weintraub, Sharon L ^a   Mena, J C ^a   Mallon, William K ^b  

^a LOUISIANA STATE UNIVERSITY   (United States)

^b LAC USC MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL AORTA ANEURYSM; ABDOMINAL PAIN; ACQUIRED IMMUNE DEFICIENCY SYNDROME; APPENDICITIS; CHOLECYSTITIS; COLON OBSTRUCTION; COMPUTER ASSISTED TOMOGRAPHY; DIFFERENTIAL DIAGNOSIS; DIVERTICULITIS; ECHOGRAPHY; EMERGENCY SURGERY; ENTEROCOLITIS; ESOPHAGITIS; GASTRITIS; GASTROESOPHAGEAL REFLUX; GASTROINTESTINAL HEMORRHAGE; HEPATITIS; HUMAN; HUMAN IMMUNODEFICIENCY VIRUS INFECTION; IMMUNE DEFICIENCY; INTESTINE PERFORATION; KAPOSI SARCOMA; KIDNEY COLIC; NEPHROLITHIASIS; OPPORTUNISTIC INFECTION; PANCREATITIS; PELVIC INFLAMMATORY DISEASE; PRIORITY JOURNAL; REVIEW; SPLEEN ABSCESS; SPLEEN RUPTURE; TOXIC MEGACOLON;

EID: 0348014411     PISSN: 07338627     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0733-8627(03)00070-1     Document Type: Review

References (99)

1. Centers for Disease Control and Prevention. Acquired Immunodeficiency Syndrome (AIDS) 1993 case definition. Available at: http://www.cdc.gov/epo/dphsi/casedef/aids1993.htm. Accessed April 12, 2002.
2. Centers for Disease Control and Prevention. HIV/AIDS update: a glance at the HIV epidemic. Available at: http://www.cdc.gov/nchstp/od/news/At-a-glance.pdf. Accessed December 20, 2002.
3. Kaplan JE, Hanson D, Dworkin MS, et al. Epidemiology of human immunodeficiency virus-associated opportunistic infection in the United States in the era of highly active antiretroviral therapy. Clin Infect Dis 2000;1:S5-14.
4. Palella FJ, Delaney KM, Moorman AC, et al. Declining morbidity and mortality among patients with advanced human immunodeficiency virus infection. N Engl J Med 1998;338:853-60.
5. Monkemuller KE, Call SA, Lazenby AJ, Wilcox CM. Declining prevalence of opportunistic gastrointestinal disease in the era of combination antiretroviral therapy. Am J Gastoenterol 2000;95:457-62.
6. Yoshida D, Caruso JM. Abdominal pain in the HIV-infected patient. J Emerg Med 2002;23:111-6.
7. Kelen GD, DiGiobanna T, Bission L, et al. Human immunodeficiency virus infection in emergency department patients. JAMA 1989;262:516-22.
8. Wilson SE, Robinson G, Williams RA, et al. Acquired immune deficiency syndrome (AIDS). Indications for abdominal surgery, pathology, and outcome. Ann Surg 1989;210:428-33.
9. LaRaja RD, Rothenberg RE, Odum JW, Mueller SC. The incidence of intra-abdominal surgery in acquired immunodeficiency syndrome: a statistical review of 904 patients. Surgery 1989;105:175-9.
10. Parente F, Cernuschi M, Antinori S, et al. Severe abdominal pain in patients with AIDS: frequency, clinical aspects, causes, and outcome. Scand J Gastroenterol 1994;29:511-5.
11. Barone JE. Abdominal pain in patients with acquired immune deficiency syndrome. Ann Surg 1986;204:619-23.
12. Hussain SA, Latif ABA, Choudhary AAAA. Risk to surgeons: a survey of accidental injuries during operations. Br J Surg 1988;75:314-6.
13. Bell DM. Occupational risk of human immunodeficiency virus in healthcare workers: an overview. Am J Med 1997;102(Suppl 5B):9-15.
14. Ippolito G, Puro V, Heptonstall J, et al. Occupational human immunodeficiency virus infection in health care workers: worldwide cases through September 1997. Clin Infect Dis 1999;28:365-83.
15. Cardo DM, Culver DH, Ciesielski CA, et al. A case-controlled study of HIV sero-conversion in health care workers after percutaneous exposure. N Engl J Med 1997;337:1485-92.
16. Tanner AG, Hartley JE, Darzi A, et al. Laparoscopic surgery in patients with human immunodeficiency virus. Br J Surg 1994;81:1647-8.
17. Yii MK, Saunder A, Scott DF. Abdominal surgery in HIV/AIDS patients: indications, operative management, pathology and outcome. Aust N Z J Surg 1995;65:320-6.
18. Ferguson CM. Surgical complication of human immunodeficiency virus infection. Am Surg 1988;54:4-9.
19. Deziel DJ, Hyser MJ, Doolas A, et al. Major abdominal operations in acquired immunodeficiency syndrome. Am Surg 1990;56:445-50.
20. Nugent P, O'Connell TX. The surgeon's role in treating acquired immunodeficiency syndrome. Arch Surg 1986;121:1117-20.
21. Burack JH, Mandel MS, Bizer LS. Emergency abdominal operations in the patient with acquired immunodeficiency syndrome. Arch Surg 1989;124:285-6.
22. Davidson T, Allen-Mersh TG, Miles AJG. Emergency laparotomy in patients with AIDS. Br J Surg 1991;78:924-6.
23. Bizer LS, Pettorino R, Ashikari A. Emergency abdominal operation in the patient with acquired immunodeficiency syndrome. J Am Coll Surg 1995;180:205-9.
24. Chambers AJ, Lord RSA. Incidence of acquired immune deficiency syndrome (AIDS)-related disorders at laparotomy. Br J Surg 2001;88:294-7.
25. Wexner SD, Smithy WB, Trillo C, et al. Emergency colectomy for cytomegalovirus ileocolitis in patients with the acquired immune deficiency syndrome. Dis Colon Rectum 1988;31:755-61.
26. Albaran RG, Webber J, Steffes CP. CD4 cell counts as a prognostic factor of major abdominal surgery in patients infected with the human immunodeficiency virus. Arch Surg 1998;133:626-31.
27. Whitney TM, Brunel W, Russell TR, et al. Emergent abdominal surgery in AIDS: experience in San Francisco. Am J Surg 1994;168:239-43.
28. Cunningham WE, Rana HM, Shapiro MF, Hays RD. Reliability and validity of self-report CD4 counts in persons hospitalized with HIV disease. J Clin Epidemiol 1997;50:829-35.
29. Whitney TM, Macho JR, Russell TR, et al. Appendicitis in acquired immunodeficiency syndrome. Am J Surg 1992;164:467-71.
30. Powers RG, Guertler AT. Abdominal pain in the ED: stability and change over 20 years. Am J Emerg Med 1995;13:301-3.
31. Blatt SP, Lucey CR, Butzin CA, et al. Total lymphocyte count as a predictor of absolute CD4+ count and CD4 percentage in HIV-infected persons. JAMA 1993;269:622-6.
32. Shapiro NI, Karras DJ, Leech SH, et al. Absolute lymphocyte count as a predictor of CD4 count. Ann Emerg Med 1998;32:323-8.
33. Ahn SH, Mayo-Smith WW, Murphy BL, et al. Acute nontraumatic abdominal pain in adult patients: abdominal radiography compared with CT evaluation. Radiology 2002;225:159-64.
34. Ang A, Chong NK, Daneman A. Pediatric appendicitis in "real-time": the value of sonography in diagnosis and treatment. Pediatr Emerg Care 2001;17:334-40.
35. Tsushima Y, Yamada S, Aoki J, et al. Effect of contrast-enhanced computed tomography on diagnosis and management of acute abdomen in adults. Clin Radiol 2002;57:507-13.
36. Rosen MP, Sands DZ, Longmaid HE III, et al. Impact of abdominal CT on the management of patients presenting to the emergency department with acute abdominal pain. AJR Am J Roentgenol 2000;174:1391-6.
37. Ujiki MB, Murayama KM, Cribbins AJ, et al. CT scan in the management of acute appendicitis. J Surg Res 2002;15:119-22.
38. Christopher F, Lane M, Ward J, Morgan J. Unenhanced helical CT scanning of the abdomen and pelvis changes disposition of patients presenting to the emergency department with possible acute appendicitis. J Emerg Med 2002;23:1-7.
39. Kram HB, Shoemaker WC. Intestinal perforation due to cytomegalovirus infection in patients with AIDS. Dis Colon Rectum 1990;33:1037-40.
40. Zhang LJ, Hanff P, Rutherford C, Churchill WH, Crumpacker CS. Detection of human cytomegalovirus, DNS, RNA, and antibody in normal donor blood. J Infect Dis 1995;171:1002-6.
41. Collier AC, Meyers JD, Corey L, et al. Cytomegalovirus infection in homosexual men. Relationship to sexual practices, antibody to human immunodeficiency virus, and cell-mediated immunity. Am J Med 1987;82:593-601.
42. Lowy AM, Barie PS. Laparotomy in patients infected with human immunodeficiency virus: indications and outcome. Br J Surg 1994;81:942-5.
43. Potter DA, Danforth DN, Macher AM, et al. Evaluation of abdominal pain in the AIDS patient. Ann Surg 1984;199:332-9.
44. Gumbs MA, Girishkumar H, Yousuf A, et al. Histoplasmosis of small bowel in two patients with AIDS. Postgrad Med J 2000;76:367-9.
45. Straus SE. Human herpesvirus type 8 (Kaposi's sarcoma-associated herpesvirus). In: Mandell GL, Bennett JE, Dolin R, editors. Mandell, Douglas, and Bennett's principles and practice of infectious diseases. Philadelphia: Churchill Livingstone; 2000. p. 1618-24.
46. Barrison IG, Foster S, Harris JW, Pinching AJ, Walker JG. Upper gastrointestinal Kaposi's sarcoma in patients positive for HIV antibody without cutaneous disease. BMJ 1988;296:92-3.
47. Kadakia SC, Kadakia AS, Westphal KW. Gastrointestinal Kaposi's sarcoma as the first manifestation of acquired immunodeficiency syndrome. South Med J 1992;85:37-9.
48. Chetty R, Slavin JL, Miller RA. Kaposi's sarcoma presenting as acute appendicitis in an HIV-1 positive patient. Histopath 1993;23:590-1.
49. Levine AM. Lymphoma in acquired immunodeficiency syndrome. Semin Oncol 1990;17:104-12.
50. Cappell MS, Botros N. Predominantly gastrointestinal symptoms and signs in 11 consecutive AIDS patients with gastrointestinal lymphoma: a multicenter, multiyear study including 763 HIV-seropositive patients. Am J Gastroenterol 1994;89:545-9.
51. Steinberg JJ, Bridges N, Feiner HD, Valensi Q. Small intestine lymphoma in three patients with acquired immune deficiency syndrome. Am J Gastroenterol 1985;80:21-6.
52. Ratner L, Lee J, Tang S, et al. Chemotherapy for human immunodeficiency virus-associated non-Hodgkin's lymphoma in combination with highly active antiretroviral therapy. J Clin Oncol 2001;19:2171-8.
53. Danin JC, McCarty M, Coker R. Case report: lymphoma causing small bowel intussusception in a patient with the acquired immune deficiency syndrome. Clin Radiol 1992;46:350-1.
54. Shailesh C, Kadakia AS, Westphal KW. Gastrointestinal Kaposi's sarcoma as the first manifestation of acquired immunodeficiency syndrome. South Med J 1992;85:37-9.
55. Wissner J, Zingman B, Wasik M, et al. Cytomegalovirus pseudotumor presenting as bowel obstruction in a patient with acquired immunodeficiency syndrome. Am J Gastoenterol 1992;87:771-4.
56. Whitney TM, Macho JR, Russell TR. Appendicitis in acquired immunodeficiency syndrome. Am J Surg 1992;164:467-71.
57. Dezfuli MG, Oo MM, Jones BE, Barnes PF. Tuberculosis mimicking acute appendicitis in patients with human immunodeficiency virus infection. Clin Infect Dis 199;18:650-1.
58. Visvanathan K, Jones PD, Truskett P. Abdominal mycobacterial infection mimicking acute appendicitis in an AIDS patient. Aust N Z J Surg 1993;63:558-60.
59. Binderow SR, Shaked AA. Acute appendicitis in patients with AIDS/HIV infection. Am J Surg 1991;162:9-12.
60. Baker MS, Wille M. Metastatic Kaposi's sarcoma presenting as acute appendicitis. Mil Med 1986;151:45-7.
61. Ravalli S, Vincent RA, Beaton HL. Acute appendicitis secondary to Kaposi's sarcoma in the acquired immunodeficiency syndrome. New York State J Med 1991;91:401-3.
62. Neumayer LA, Makar R, Ampel NM, Zukoski CF. Cytomegalovirus appendicitis in a patient with human immunodeficiency virus infection. Arch Surg 1993;128:467-8.
63. Bova R, Meagher A. Appendicitis in HIV-positive patients. Aust N Z J Surg 1998;68:337-9.
64. Flum DR, Steinberg SD, Sarkis AY, Pacholka JR, Wallack MK. The role of cholecystectomy in acquired immunodeficiency syndrome. J Am Coll Surg 1997;184:233-9.
65. Savioz D, Lironi A, Zurbuchen P, et al. Acute right iliac fossa pain in acquired immunodeficiency: a comparison between patients with and without acquired immune deficiency syndrome. Br J Surg 1996;83:644-6.
66. Beaugerie L, Ngo Y, Goujard F, et al. Etiology and management of toxic megacolon in patients with human immunodeficiency virus infection. Gastroenterology 1994;107:858-63.
67. French AL, Beaudet LM, Benator DA, et al. Cholecystectomy in patients with AIDS: clinicopathologic correlation in 107 cases. Clin Infect Dis 1995;21:852-8.
68. Levia JI, Etter L, Gathe J, et al. Surgical therapy for 101 patients with acquired immunodeficiency syndrome and symptomatic cholecystitis. Am J Surg 1997;174:414-6.
69. Chetty R, Batitang S, Nair R. Large artery vasculopathy in HIV-positive patients: another vasculitic enigma. Hum Pathol 2000;31:374-9.
70. Marks C, Kusov S. Pattern of arterial aneurysms in acquired immunodeficiency disease. World J Surg 1995;19:127-32.
71. Nair R, Abdool-Carrim ATO, Chetty R, Robbs JV. Arterial aneurysms in patients infected with human immunodeficiency virus: a distinct clinicopathology entity? J Vasc Surg 1999;29:600-7.
72. Lu SS, Schwartz JM, Simon DM, Brandt LJ. Clostridium difficile-associated diarrhea in patients with HIV positivity and AIDS: a prospective controlled study. Am J Gasroenterol 1994;89:1226-9.
73. Hay JA, Lyubashevsky E, Elashoff J, et al. Upper gastrointestinal hemorrhage clinical guideline-determining the optimal hospital length of stay. Am J Med 1996;100:313-22.
74. Bini EJ, Micale PL, Weinshel EH. Risk factors for rebleeding and mortality from acute upper gastrointestinal hemorrhage in human immunodeficiency virus infection. Am J Gastroenterol 1999;94:358-63.
75. Caccairelli AG, Marano BJ, Gualtieri NM, et al. Lower Helicobacter pylori infection and peptic ulcer disease prevalence in patients with AIDS and suppressed CD4 counts. Am J Gastroenterol 1996;91:1783-4.
76. Nash JA, Cohen SA. Gallbladder and biliary disease in AIDS. Gastroenterol Clin N Am 1997;26:323-35.
77. Cello JP. Acquired immunodeficiency syndrome cholangiopathy: spectrum of disease. Am J Med 1989;86:539-46.
78. Cello JP, Chan MF. Long-term follow-up of endoscopic retrograde cholangiopancreatography sphincterotomy for patients with acquired immune deficiency syndrome papillary stenosis. Am J Med 1995;99:600-3.
79. Tanowitz HB, Simon D, Weiss LM, et al. Gastrointestinal manifestations. Med Clin N Am 1996;80:1395-414.
80. Schneiderman DJ. Hepatobiliary abnormalities of AIDS. Gastroenterol Clin N Am 1988;17:615-30.
81. Welch K, Finkbeiner W, Alpers CE, et al. Autopsy findings in the acquired immune deficiency syndrome. JAMA 1984;252:1152-9.
82. Mathew A, Raviglinoe MC, Niranjan U, et al. Splenectomy in patients with AIDS. Am J Hematology 1989;32:184-9.
83. Dutta SK, Ting CD, Lai LL. Study of prevalence, severity, and etiologic factors associated with acute pancreatitis in patients infected with human immunodeficiency virus. Am J Gastroenterol 1997;92:2044-8.
84. Riela A, Zinsmeister AR, Melton LJ, DiMagno EP. Etiology, incidence and survival of acute pancreatitis in Olmsted County, Minnesota. Gastroenterology 1991;100:A296.
85. Kahn E, Anderson VM, Greco MA, Magid M. Pancreatic disorders in pediatric acquired immune deficiency syndrome. Hum Pathol 1995;26:765-70.
86. Dassopoulos T, Ehrenpreis ED. Acute pancreatitis in human immunodeficiency virus-infected patients: a review. Am J Med 1999;107:78-84.
87. Cappell MS, Marks M. Acute pancreatitis in HIV-seropositive patients: a case control study of 44 patients. Am J Med 1995;98:243-8.
88. Clas D, Falutz JF, Rosenberg L. Acute pancreatitis associated with HIV infection. CMAJ 1989;140:823.
89. Levin TL, Berdon WE, Tang HB, Haller JO. Dideoxyinosine-induced pancreatitis in human immunodeficiency virus-infected children. Pediatr Radiol 1997;27:189-91.
90. Safrin S, Dattel BJ, Hauer L, Sweet RL. Seroprevalence and epidemiologic correlates of human immunodeficiency virus infection in women with acute pelvic inflammatory disease. Obstet Gynecol 1990;75:666-70.
91. Shannon J, Benrubi GI. Epidemiology of pelvic inflammatory disease at University Medical Center, Jacksonville. J Florida 1991;78:158-61.
92. Barbosa C, Macasaet M, Brockman S, et al. Pelvic inflammatory disease and human immunodeficiency virus infection. Obstet Gynecol 1997;89:65-70.
93. Cohen CR, Sinei S, Reilly M, et al. Effect of human immunodeficiency virus type 1 infection upon acute salpingitis: a laparoscopic study. J Infect Dis 1998;178:1352-8.
94. Korn AP, Landers DV, Green JR, Sweet RL. Pelvic inflammatory disease in human immunodeficiency virus-infected women. Obstet Gynecol 1993;82:765-8.
95. Bukusi EA, Cohen CR, Stevens CE, et al. Effects of human immunodeficiency virus 1 infection on microbial origins of pelvic inflammatory disease and on efficacy of ambulatory oral therapy. Am J Obstet Gynecol 1999;181:1374-81.
96. Irwin KL, Moorman AC, O'Sullivan MJ, et al. Influence of human immunodeficiency virus infection on pelvic inflammatory disease. Obstet Gynecol 2000;95:525-34.
97. Saltel E, Angel JB, Futter NG, et al. Increased prevalence and analysis of risk factors for indinavir nephrolithiasis. J Urol 2000;164:1895-7.
98. Bruce RG, Munch LC, Hoven AD, et al. Urolithiasis associated with the protease inhibitor indinavir. Urology 1997;50:513-8.
99. Witte M, Tobon A, Gruenefelder J, Goldfarb R, Coburn M. Anuria and acute renal failure resulting from indinavir sulfate induced nephrolithiasis. J Urol 1998;159:498-9.