AIDS AND POLYPARASITISM OF THE BILIARY-TR ACT

Two cases of cholecystis and acalculous cholangitis in two males with AIDS are reported. Diagnosis was made on clinical, histological, and/o r radiological arguments. Cholecystectomy should have been performed e arlier so as to relieve the patients, remove chronic gallbladder carri age, and identify pathogens. Histology of the two gallbladders reveale d CMV, cryptosporidiae, and microsporidiae; Mycobacterium chelonae was also found in the gallbladder of one patient. Phosphonoformate treatm ent seems to be justified in case of CMV discovered in the gallbladder or in the biliary tract, or when pain is unrelieved after sphincterot omy. Efficacy of paromomycin must be assessed for cryptosporidiae.