Symptoms: 2-4 weeks after infection like flu (fever, swollen glands, sore throat, rash, fatigue, muscle and joint aches, pains, headache). During latency stage are no symptoms. Late stage is rapid weight loss, recurring fever, extreme fatigue, pneumocystis, pneumonia.
Complication: Wasting syndrome and neurological complications, opportunistic infections (TB, salmonella, cytomegalovirus, candidiasis, Kaposi's sarcoma, lymphoma)
A 34 year-old woman complained of severe dysmenorrhea and irregular bowel movements. She had two children during her early twenties, but had been unable to conceive since then. At laparoscopy, multiple "powder burn" lesions were noted on the pelvic peritoneum, uterine wall, left fallopian tube, and left ovary. A small mass was visible in the wall of the sigmoid colon.
Click on Case 7, Image 7a, 7b, and 7c: Image 7a shows the surface of a uterus from a woman with a similar disease process shows a few focal small darkly discolored lesions.
Image 7b shows that upon further inspection, the lesions on the surface of the uterus have the appearance of small "powder burns." Image 7c shows that microscopically, the lesions on the serosal surfaces are composed of both endometrial glands and stroma with hemorrhage.
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