How is gastroenteritis diagnosed and treated in patients with AIDS?

Updated: Feb 10, 2017
  • Author: Arthur Diskin, MD; Chief Editor: Steven C Dronen, MD, FAAEM  more...
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Answer

Note the following:

  • The condition usually becomes more severe as the immune system deteriorates.

  • Patient may require antimotility agents only.

  • Consider drug-related and herb-related causes.

  • Start with empiric treatment with a quinolone and culture the stool.

  • Pursue diagnostic testing more aggressively because patients with AIDS are more likely to have an identifiable etiology.

  • Consider nonopportunistic bacterial and protozoal infections first, followed by etiologies such as Cytomegalovirus (CMV) and Mycobacterium infections.

  • Treatment must include nutritional and psychosocial support.


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