抄録
This patient was a 32-year-old male. He has infected by HIV because of hemophylia since 1985. In 1996, he visited us because of much melena and anemia.
We performed an emergent endoscopic examination. On this examination, small ulcers were observed in the colon, and a blood vessel with bleeding was observed in the cecum. The bleeding on the cecum had stopped after we held the blood vessel with clips endoscopically. After that the melena disappeared and the anemia improved.
Although we couldn't regard this case as the infection of opportunity because of the number of CD4, we suspected CMV colitis because of strong damage of a blood vessel. But no specific findings were detected in the biopsied specimen and selological test.
MRSA was possitive in the faecal culture test. But no typical symptoms were revealed in this patient. Endoscopically we couldn't deny MRSA colitis.
We experienced a case of colitis with much melena associeted with HIV infection, and we could stop the bleeding endoscopically. So we reported it with some literatures.
