A Case of Cytomegalovirus Colitis with Nontuberculous Mycobacterium Infection in Immunocompetent Host

被引：1

作者：

Choi, Gwang Jun ^{[1
]}

Nam, Seong Woo ^{[1
]}

Lee, Seong Eun ^{[1
]}

Kweon, Hyuck Choon ^{[1
]}

Yang, Sung Wook ^{[1
]}

Kwak, Dong Myoung ^{[1
]}

Lee, Keun Sook ^{[1
]}

Yu, Ji Weon ^{[1
]}

Choi, Han Seop ^{[1
]}

Suh, Jung Il ^{[2
]}

机构：

[1] Natl Med Ctr, Dept Internal Med, 18-79 Eulji Ro 6 Ga, Seoul 100799, South Korea

[2] Natl Med Ctr, Dept Pathol, Seoul, South Korea

来源：

ANNALS OF GERIATRIC MEDICINE AND RESEARCH | 2009年 / 13卷 / 04期

关键词：

Cytomegalovirus; Colitis; lmmunocompetent; Nontuberculous Mycobacterium;

D O I：

10.4235/jkgs.2009.13.4.238

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

Cytomegalovirus (CMV) infections are common in immune compromised situations such as human immunodeficiency virus infection and organ transplantation. However CMV colitis had been rarely found in immunocompetent individuals. We experienced a case of an 83-year-old female patient, initially immune competent, who developed a massive lower gastrointestinal bleeding caused by CMV colitis. Previously, multiple antibiotics were used for nontuberculous Mycobacterium and other bacterial infections after total knee arthroplasty. Colonoscopy revealed multiple ulcerations and mucosal congestion with hemorrhage. In spite of ganciclovir therapy, our patient did not recover.

引用

页码：238 / 241

页数：4

共 12 条

[1] GASTROINTESTINAL CYTOMEGALOVIRUS DISEASE
GOODGAME, RW
[J]. ANNALS OF INTERNAL MEDICINE, 1993, 119 (09) : 924 - 935
[2] 편래현, 2004, Clinical Endoscopy, V28, P92
[3] Lee G, 2000, KOREAN J GASTROENTER, V35, P649
[4] Cytomegalovirus colitis in individuals without apparent cause of immunodeficiency
Ng, FH
Chau, TN
Cheung, TC
Kng, C
Wong, SY
Ng, WF
Lee, KC
Chan, E
Lai, ST
Yuen, WC
Chang, CM
[J]. DIGESTIVE DISEASES AND SCIENCES, 1999, 44 (05) : 945 - 952
[5] Cytomegalovirus enteritis - A highly lethal condition requiring early detection and intervention
Page, MJ
Dreese, JC
Poritz, LS
Koltun, WA
[J]. DISEASES OF THE COLON & RECTUM, 1998, 41 (05) : 619 - 623
[6] 김갑현, 2004, [The Korean Journal of Medicine, 대한내과학회지], V66, P326
[7] PASTERNACK MS, 1990, REV INFECT DIS, V12, pS720
[8] ROBERTS WH, 1989, ARCH PATHOL LAB MED, V113, P461
[9] SEUNG-JAE MYUNG，, 2002, [The Korean Journal of Gastroenterology, 대한소화기학회지], V39, P59
[10] Song KH, 2002, KOREAN J MED, V62, P218

← 1 2 →