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©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Feb 7, 2008; 14(5): 808-811
Published online Feb 7, 2008. doi: 10.3748/wjg.14.808
Published online Feb 7, 2008. doi: 10.3748/wjg.14.808
Mycobacterium ulcerans infection as a cause of chronic diarrhea in an AIDS patient: A case report
Jin-Gook Huh, You-Sun Kim, Jong-Sung Lee, Tae-Yeob Jeong, Soo-Hyung Ryu, Jung-Hwan Lee, Jeong-Seop Moon, Department of Internal Medicine, Inje University College of Medicine, Seoul 100-032, South Korea
Yun-Kyung Kang, Department of Pathology, Inje University College of Medicine, Seoul 100-032, South Korea
Myung-Shup Shim, Korean Institute of Tuberculosis, Seoul, South Korea
Myoung-Don Oh, Department of Internal Medicine, Seoul National University College of Medicine, Seoul, South Korea
Correspondence to: You-Sun Kim, MD, PhD, Department of Internal Medicine, Inje University College of Medicine, Seoul Paik Hospital, Joong-gu, Jeo-dong 2-ga 85, Seoul 100-032, South Korea. yousunk69@korea.com
Telephone: +82-2-22700012
Fax: +82-2-22700579
Received: July 23, 2007
Revised: October 13, 2007
Published online: February 7, 2008
Revised: October 13, 2007
Published online: February 7, 2008
Abstract
Chronic diarrhea is one of the most frequent gastro-intestinal manifestations in acquired immunodeficiency syndrome (AIDS). Protozoa and nontuberculous mycobacteria (NTM) are opportunistic pathogens that can easily infect these patients. Among the NTM, Mycobacterium avium complex (MAC) is the most frequently observed pathogen in HIV-infected patients. However, NTMs other than MAC have not been reported as a gastrointestinal pathogen as yet. We present a case of chronic diarrhea in an AIDS patient in whom Mycobacterium ulcerans and cryptosporidium co-infection is evidenced from colonic tissue.
Keywords: Mycobacterium ulcerans, Cryptosporidium, HIV, Chronic diarrhea