PMID- 30147971 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200929 IS - 2090-6625 (Print) IS - 2090-6633 (Electronic) VI - 2018 DP - 2018 TI - AIDS Cholangiopathy Secondary to Cytomegalovirus as Possible Unmasking Immune Reconstitution Inflammatory Syndrome in Human Immunodeficiency Virus-Infected Individual: Case Report and Review of the Literature. PG - 1891030 LID - 10.1155/2018/1891030 [doi] LID - 1891030 AB - We present the first case report of cytomegalovirus (CMV) cholangiopathy as possible immune reconstitution inflammatory syndrome (IRIS) in a human immunodeficiency virus (HIV)-infected individual, within two months of starting effective HAART. The patient presented with abdominal pain, nausea, vomiting, decreased appetite, and jaundice. The patient was diagnosed on ERCP as AIDS cholangiopathy, and biopsy of the ampulla showed acute inflammation with CMV inclusion bodies. The patient underwent sphincterotomy with CBD stenting and HAART continued without use of ganciclovir or valganciclovir. On follow-up, the patient achieved clinical and histopathological cure, which was demonstrated on repeat ampullary biopsy. FAU - Topiwala, Moiz AU - Topiwala M AUID- ORCID: 0000-0001-5842-6395 AD - Department of Internal Medicine, Poona Hospital and Research Centre, Pune, India. FAU - Dubale, Nachiket AU - Dubale N AD - Department of Gastroenterology, Poona Hospital and Research Centre, Pune, India. FAU - Medisetty, Mahender K AU - Medisetty MK AD - Department of Internal Medicine, Poona Hospital and Research Centre, Pune, India. FAU - Gaikwad, Sunil AU - Gaikwad S AD - Department of Internal Medicine, Poona Hospital and Research Centre, Pune, India. AD - Institute of Infectious Diseases, Pune, India. FAU - Patel, Divya AU - Patel D AD - Department of Pathology, Poona Hospital and Research Centre, Pune, India. FAU - Pujari, Sanjay AU - Pujari S AUID- ORCID: 0000-0002-4571-650X AD - Department of Internal Medicine, Poona Hospital and Research Centre, Pune, India. AD - Institute of Infectious Diseases, Pune, India. LA - eng PT - Case Reports DEP - 20180726 PL - Egypt TA - Case Rep Infect Dis JT - Case reports in infectious diseases JID - 101573243 PMC - PMC6083534 EDAT- 2018/08/28 06:00 MHDA- 2018/08/28 06:01 PMCR- 2018/07/26 CRDT- 2018/08/28 06:00 PHST- 2018/04/04 00:00 [received] PHST- 2018/07/10 00:00 [accepted] PHST- 2018/08/28 06:00 [entrez] PHST- 2018/08/28 06:00 [pubmed] PHST- 2018/08/28 06:01 [medline] PHST- 2018/07/26 00:00 [pmc-release] AID - 10.1155/2018/1891030 [doi] PST - epublish SO - Case Rep Infect Dis. 2018 Jul 26;2018:1891030. doi: 10.1155/2018/1891030. eCollection 2018.