Cytomegalovirus Colitis with Colon Perforation and Lower Gastrointestinal Bleeding in a Immunocompetent Patient

被引：0

作者：

Kim, Sun Wook ^{[1
]}

Cha, Yoon Jin ^{[2
]}

Kim, Min Hwan ^{[1
]}

Jin, Moo-Nyun ^{[1
]}

Lee, Jung-Hee ^{[1
]}

Park, Hye Jung ^{[1
]}

Chang, Sooyun ^{[1
]}

Lee, Hyuk ^{[3
]}

机构：

[1] Yonsei Univ, Coll Med, Dept Internal Med, Seoul, South Korea

[2] Yonsei Univ, Coll Med, Dept Pathol, Seoul, South Korea

[3] Sungkyunkwan Univ, Samsung Med Ctr, Sch Med, Dept Med,Div Gastroenterol, Seoul 135710, South Korea

来源：

EWHA MEDICAL JOURNAL | 2014年 / 37卷 / 02期

关键词：

Cytomegalovirus; Colitis; Immunocompetence;

D O I：

10.12771/emj.2014.37.2.105

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cytomegalovirus (CMV) infection in immunocompromised patients is associated with significant morbidity, mortality, and adverse clinical outcome. However, CMV infection in immunocompetent patients has been considered to have subclinical and self-limited course, and does not require treatment. We reports a case of CMV colitis, presented with colon perforation and lower gastrointestinal bleeding in a immunocompetent 31-year-old young male. After conservative treatment, colonoscopy revealed multiple ulcers in transverse colon. CMV colitis was confirmed by microscopic findings and immunohistochemistry. After successful treatment with ganciclovir, the patient improved without invasive procedure.

引用

页码：105 / 108

页数：4

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