Infection by Mycobacterium Avium Intracellulare in AIDS: Endoscopic Duodenal Appearance Mimicking Whipple's Disease

J. L. Vázquez-lglesias; J. Yañez; J. Durana; F. Arnal

doi:10.1055/s-2007-1018194

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Endoscopy 1988; 20(5): 279-280
DOI: 10.1055/s-2007-1018194

Infection by Mycobacterium Avium Intracellulare in AIDS: Endoscopic Duodenal Appearance Mimicking Whipple's Disease

J. L. Vázquez-lglesias^* , J. Yañez^* , J. Durana^* , F. Arnal^**

^*Gastroenterology Unit, Hospital Juan Canalejo, La Coruña, Spain
^**Department of Pathology, Hospital Juan Canalejo, La Coruña, Spain

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Publication Date:
17 March 2008 (online)

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Summary

We report the case of a 24-year-old woman who presented with diarrhea, weight loss and abdominal lymph node enlargement. A diagnosis of infection by Mycobacterium avium intracellulare with a clinical picture similar to Whipple's disease was established. The endoscopic study of the duodenum revealed multiple yellow nodules that became confluent in the second portion, entirely replacing the normal mucosa. These endoscopic findings have not been described previously in intestinal infection by Mycobacterium avium intracellulare.

Key words:

Mycobacterium avium intracellulare - AIDS - Duodenal endoscopy - Whipple's disease