Digestive Diseases and Sciences

, Volume 63, Issue 11, pp 2858–2863 | Cite as

Duodenitis, Diarrhea, and Death in a Patient with AIDS

  • Anas GremidaEmail author
  • Davika Kapuria
  • Marissa A. Tafoya
  • Archana Kaza
  • Denis McCarthy

Case Report

A 47-year-old Native American male was initially evaluated in the emergency room with a 4-month history of diarrhea, which was described as voluminous, foul smelling, and occurring 3–6 times daily, both day and night. It was associated with diminished oral intake, lassitude, anorexia, and an unintentional weight loss of 42 lb over the past year. His roommate additionally reported that, following the diagnosis of infection with human immunodeficiency virus (HIV), the patient had become disoriented, forgetful, and anhedonic.

The patient’s HIV infection was diagnosed 8 months prior to this presentation. At the time of diagnosis, he was diagnosed with pneumococcal pneumonia and hairy leukoplakia as complications of the acquired immune deficiency syndrome (AIDS). The major risk factor was having unprotected sex with men. The patient’s cluster of differentiation (CD)4 count at the time of diagnosis was 12 cells/mm3, and his viral load was 271,000 copies/ml. After hospital...


HIV AIDS Mycobacterium avium Diarrhea Antiretroviral therapy Whipple’s disease 


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • Anas Gremida
    • 1
    Email author
  • Davika Kapuria
    • 1
  • Marissa A. Tafoya
    • 2
  • Archana Kaza
    • 1
  • Denis McCarthy
    • 1
  1. 1.Division of Gastroenterology and HepatologyUniversity of New Mexico School of Medicine Medical CenterAlbuquerqueUSA
  2. 2.Department of PathologyUniversity of New Mexico School of Medicine Medical CenterAlbuquerqueUSA

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