CMV enteritis causing ileal perforation in underlying lupus enteritis

被引:35
作者
Bang, SM
Park, YB
Kang, BS
Park, MC
Hwang, MH
Kim, HK
Lee, SK
机构
[1] Yonsei Univ, Coll Med, Inst Immunol & Immunol Dis,Project Med Sci BK 21, Dept Internal Med,Div Rheumatol, Seoul 120752, South Korea
[2] Yonsei Univ, Coll Med, Inst Immunol & Immunol Dis,Project Med Sci BK 21, Dept Pathol, Seoul 120752, South Korea
关键词
cytomegalovirus; enteritis; lupus enteritis; systemic lupus erythematosus;
D O I
10.1007/s10067-003-0825-z
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a case of cytomegalovirus (CMV) enteritis in a 31 year-old -woman with lupus enteritis. In August 2002 the patient complained of severe abdominal pain. An abdominopelvic CT scan at the time showed free air in the peritoneal cavity and wall thickening of the ileal loop. She was diagnosed as having panperitonitis due to an ileal perforation, and underwent an emergency laparotomy. The surgical specimen revealed CMV inclusion bodies in the infarcted lesion. Her symptoms improved following the initiation of ganciclovir therapy. To the best of our knowledge, this is the first report in the English literature of an ileal perforation due to CMV infection in a patient with lupus enteritis.
引用
收藏
页码:69 / 72
页数:4
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