A case of cytomegalovirus colitis in an immunocompetent hemodialysis patient

被引:11
作者
Kim, Seok-Hwan [1 ]
Kim, Young Soo [2 ]
Kim, Hyung Woo [1 ]
Yoon, Hye Eun [3 ]
Kim, Hyung Keun [4 ]
Kim, Young Ok [2 ]
Yoon, Sun Ae [2 ]
机构
[1] Catholic Univ Korea, Uijeongbu St Marys Hosp, Dept Internal Med, Seoul, South Korea
[2] Catholic Univ Korea, Uijeongbu St Marys Hosp, Dept Nephrol, Seoul, South Korea
[3] Catholic Univ Korea, Incheon St Marys Hosp, Dept Nephrol, Seoul, South Korea
[4] Catholic Univ Korea, Uijeongbu St Marys Hosp, Dept Gastroenterol, Seoul, South Korea
关键词
Cytomegalovirus; colitis; dialysis; kidney failure; chronic; RENAL-TRANSPLANT RECIPIENT; ISCHEMIC COLITIS; INFECTION; IMMUNODEFICIENCY; EXPERIENCE; DIALYSIS; DIARRHEA; FAILURE;
D O I
10.1111/j.1542-4758.2010.00520.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Symptomatic cytomegalovirus (CMV) infection in immunocompetent patients has traditionally been considered to have a benign and self-limited course. Moreover, current concept is that CMV infection in immunocompetent patients does not require treatment. However, recent studies reveal that CMV infection in immunocompetent patient with clinical manifestation is not a rare condition as thought previously. Here, we report a case of CMV colitis, which occurred in an immunocompetent hemodialysis patient who neither had HIV infection nor had medication that could cause immunosuppression. Our case revealed that the conservative treatment was not enough, and the administration of ganciclovir was essential for improving the disease course.
引用
收藏
页码:297 / 300
页数:4
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