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AIDS Cholangiopathy
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Slides Pancreas and Biliary Tract.pdf
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00:01 AIDS Cholangiopathy, opportunistic infection, keep this in mind. 00:06 Opportunistic infection of the biliary tree by cryptosporidium parvum and CMV, these organisms that we've looked at earlier with immunocompromised patients specifically with AIDS. 00:18 Remember that the most common cause of diarrhea in an AIDS patient is cryptosporidium parvum. 00:25 If it’s CMV infection anywhere for example in the esophagus, then you should be thinking about immunocompromised patient. 00:32 Your CD4 count usually would be less than 100, there would be right upper quadrant pain, hepatomegally and Alk Phos will be elevated. 00:41 ERCP here once again will show you intra and extra-hepatic dilation with or without, there could be structuring, without the dilations. 00:50 Be careful, do not confuse this with primary sclerosing cholangitis. 00:56 There’s every possibility with AIDS that you might have gall bladder damage. 01:03 Management -- endoscopic management of that narrowing, the strictures.
About the Lecture
The lecture AIDS Cholangiopathy by Carlo Raj, MD is from the course Pancreatic and Biliary Tract Diseases: Basic Principles with Carlo Raj.
Included Quiz Questions
A patient who abuses IV drugs presents with right upper quadrant pain, hepatomegaly, and elevation of alkaline phosphatase. The CD4 count is < 100/mL. Which of the following infections is associated with the MOST likely diagnosis?
- Cryptosporidium parvum
- Isospora belli
- Necator americanus
- Pneumocystis jirovecii
- Entamoeba histolytica
Which of the following endoscopic retrograde cholangiopancreatography (ERCP) findings is MOST likely to be seen in a patient with AIDS cholangiopathy?
- Intrahepatic and extrahepatic biliary stricture without dilatations
- Intrahepatic and extrahepatic biliary tract dilatations
- Obstruction of the biliary tract
- Narrowing of the biliary tract near the ampulla of Vater
- Biliary tract without pathology
Author of lecture AIDS Cholangiopathy
Carlo Raj, MD
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