34 year-old man, infected with HIV, who presented with diarrhea. Sigmoidoscopy revealed mucosal inflammation with focal mucosal hemorrhage, edematous folds and polypoid lesions. Biopsies demonstrated viral inclusions consistent with cytomegalovirus.
70 year-old woman with AIDS, whose symptoms included diarrhea. At colonoscopy, a large, deep U-shaped ulcer was found in the cecum (left). A second ulcer was seen in the rectum at retroflexion (center). Biopsies were consistent with cytomegalovirus infection. Extensive ulceration in the poorly prepped colon of a 33 year old man with AIDS (right), who had presented with colonic pseudo-obstruction. Biopsies demonstrated CMV.
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