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©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 6, 2019; 7(19): 3090-3097
Published online Oct 6, 2019. doi: 10.12998/wjcc.v7.i19.3090
Published online Oct 6, 2019. doi: 10.12998/wjcc.v7.i19.3090
Kaposi’s sarcoma manifested as lower gastrointestinal bleeding in a HIV/HBV-co-infected liver cirrhosis patient: A case report
Qi-Hui Zhou, Yong-Zheng Guo, Xia-Hong Dai, Biao Zhu, The Department of Infectious Diseases, State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310000, Zhejiang Province, China
Author contributions: Zhou QH reviewed the literature and contributed to manuscript drafting; Guo YZ and Dai XH performed infectious diseases consultation, analysed and interpreted imaging findings; Zhu B was responsible for the revision of the manuscript for important intellectual content; All authors issued final approval for the version to be submitted.
Supported by Chinese National Special Research Program for Important Infectious Diseases , No. 2017ZX10202102-002-002 ; National Science and Technology Major Project , No. 2018ZX10715-014-004 .
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflicts of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Biao Zhu, PhD, Professor, Chief Physician, The Department of Infectious Diseases, State Key Laboratory for Diagnosis and Treatment of Infectious Diseases, Collaborative Innovation Center for Diagnosis and Treatment of Infectious Diseases, the First Affiliated Hospital, College of Medicine, Zhejiang University, No. 79 Qingchun Road, Shangcheng District, Hangzhou 310000, Zhejiang Province, China. zhubiao1207@zju.edu.cn
Telephone: +86-571-87236437 Fax: +86-571-87236755
Received: March 25, 2019
Peer-review started: March 26, 2019
First decision: July 30, 2019
Revised: August 6, 2019
Accepted: August 25, 2019
Article in press: August 25, 2019
Published online: October 6, 2019
Peer-review started: March 26, 2019
First decision: July 30, 2019
Revised: August 6, 2019
Accepted: August 25, 2019
Article in press: August 25, 2019
Published online: October 6, 2019
Core Tip
Core tip: Human immunodeficiency virus (HIV)-related Kaposi’s sarcoma (KS) is the most common malignancy affecting HIV-positive patients. It usually appears as cutaneous or mucous lesions; however, KS in the viscera cannot be excluded. Patients may progress from a normal condition to exhibiting severe symptoms. We present herein, a rare case of HIV/hepatitis B virus co-infection that manifested as fever, bearing-down pain, and rectal bleeding. This case highlights that primary KS without a cutaneous manifestation should not be ignored when physicians make infectious consultation. Emphasis should be placed on colonoscopy and biopsies.