Cytomegalovirus Enteritis Causing Ileal Perforation in an Elderly Immunocompetent Individual

被引：10

作者：

Cha, Jae Myung ^{[1
]}

Lee, Joung Il ^{[1
]}

Choe, Jae Won ^{[1
]}

Joo, Kwang Ro ^{[1
]}

Jung, Sung Won ^{[1
]}

Shin, Hyun Phil ^{[1
]}

Choi, Sung Il ^{[2
]}

机构：

[1] Kyung Hee Univ, Coll Med, EW Neo Med Ctr, Dept Internal Med, Seoul 134727, South Korea

[2] Kyung Hee Univ, Coll Med, EW Neo Med Ctr, Dept Surg, Seoul 134727, South Korea

来源：

YONSEI MEDICAL JOURNAL | 2010年 / 51卷 / 02期

关键词：

Cytomegalovirus; enteritis; perforation; immunocompetent; old age; ULCERATIVE-COLITIS; PATIENT; INFECTION; ADULT; WOMAN; HOST; DIARRHEA; ULCERS; ONSET;

D O I：

10.3349/ymj.2010.51.2.279

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cytomegalovirus (CMV) infection is usually subclinical in immunocompetent individuals, however it can be life threatening in an elderly immunocompetent individual. We report a case of CMV enteritis causing ileal perforation in a physically active elderly man. An 88-year-old healthy man presented with abdominal pain and diarrhea. After initial conservative treatment, emergency laparotomy was performed for ileal perforation. The diagnosis of CMV enteritis was based on histological findings revealing many large cells with CMV inclusion bodies in the surgical specimen. In elderly individuals, even though they are immunocompetent, CMV enteritis may result in major complications such as bowel perforation, and it should be included in the differential diagnosis of diarrhea if it is resistant to conventional treatment.

引用

页码：279 / 283

页数：5

共 27 条

[1] Cytomegalovirus colitis in immunocompetent individual
Al Mahdy, H
[J]. JOURNAL OF CLINICAL PATHOLOGY, 1998, 51 (06) : 475 - 476
[2] BLAIR SD, 1992, J ROY SOC MED, V85, P238
[3] Cytomegalovirus-associated colitis causing diarrhea in an immunocompetent patient
Carter, Dan
Chovsky, David
Pokroy, Russell
Ezra, David
[J]. WORLD JOURNAL OF GASTROENTEROLOGY, 2006, 12 (42) : 6898 - 6899
[4] Ileal perforation caused by cytomegalovirus infection in a critically ill adult
Chamberlain, RS
Atkins, S
Saini, N
White, JC
[J]. JOURNAL OF CLINICAL GASTROENTEROLOGY, 2000, 30 (04) : 432 - 435
[5] Chau TN, 1996, EUR J GASTROEN HEPAT, V8, P819
[6] Lower gastrointestinal bleeding due to cytomegalovirus ileal ulcers in an immunocompetent man
Choi, SW
Chung, JP
Song, YK
Park, YN
Chu, JK
Kim, DJ
Jung, JH
Lee, CH
Lee, SJ
Park, HJ
Lee, KS
Lee, SI
Park, IS
Sohn, SK
[J]. YONSEI MEDICAL JOURNAL, 2001, 42 (01) : 147 - 151
[7] COLL PP, 1992, J FAM PRACTICE, V34, P772
[8] CYTOMEGALOVIRUS-INFECTION IN THE PREGNANT WOMAN
CONSTEN, ECJ
BRUMMELKAMP, WH
HENNY, CP
[J]. EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 1993, 52 (02) : 139 - 142
[9] FRANK D, 1984, AM J GASTROENTEROL, V79, P201
[10] Meta-analysis of outcome of cytomegalovirus colitis in immunocompetent hosts
Galiatsatos, P
Shrier, I
Lamoureux, E
Szilagyi, A
[J]. DIGESTIVE DISEASES AND SCIENCES, 2005, 50 (04) : 609 - 616

← 1 2 3 →