Cytomegalovirus-induced small-bowel hemorrhage in a patient with nonsystemic vasculitic neuropathy

被引:4
作者
Sugimoto, Toshiro [1 ]
Soumura, Mariko
Kawasaki, Masayasu
Kawai, Hiromichi
Uzu, Takashi
Nishio, Yoshihiko
Tani, Tohru
Kashiwagi, Atsunori
机构
[1] Shiga Univ Med Sci, Dept Med, Shiga 5202192, Japan
[2] Shiga Univ Med Sci, Dept Surg, Shiga 5202192, Japan
关键词
cytomegalovirus; ileus; nonsystemic vasculitic neuropathy; small-bowel hemorrhage; steroid therapy;
D O I
10.1007/s10067-005-0187-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A 73-year-old man who was being treated with corticosteroids for nonsystemic vasculitic neuropathy developed small-bowel hemorrhage after ileostomy for ileus. Immunohistochemical staining for cytomegalovirus (CMV) antigen in the ulcer in the resected ileum was positive; thus, cytomegalovirus infection of the small intestine caused his gastrointestinal manifestations. Cytomegalovirus infection should be considered in the differential diagnosis of gastrointestinal diseases in patients with collagen vascular diseases receiving immunosuppressive agents.
引用
收藏
页码:575 / 576
页数:2
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