Cytomegalovirus enteritis mimicking Crohn's disease in a lupus nephritis patient: A case report

被引：14

作者：

Khan, Faisal Nazir ^{[1
]}

Prasad, Vinod ^{[1
]}

Klein, Michael David ^{[1
]}

机构：

[1] New York Med Coll, Westchester Med Ctr, Dept Nephrol, Valhalla, NY 10595 USA

来源：

WORLD JOURNAL OF GASTROENTEROLOGY | 2009年 / 15卷 / 34期

关键词：

Cytomegalovirus; Enteritis; Lupus nephritis; Terminal ileitis; IMMUNOSUPPRESSIVE THERAPY; ILEAL PERFORATION; ERYTHEMATOSUS; INFECTION; ADULT;

D O I：

10.3748/wjg.15.4327

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Cytomegalovirus (CMV) infection of the gastrointestinal (GI) tract has been reported in both immunocompetent and, more frequently, in immunocompromised patients. We describe a case of a 19-year-old male who developed CMV infection of the terminal ileum while receiving immunosuppression for lupus nephritis. This was a distinctly unusual site of infection which clinically mimicked Crohn's ileitis. We note that reports of terminal ileal CMV infection have been infrequent. Despite a complicated hospital course, ganciclovir therapy was effective in resolving his symptoms and normalizing his ileal mucosa. This report highlights the importance of accurate histological diagnosis and clinical follow-up of lupus patients with GI symptoms undergoing intense immunosuppression. (C) 2009 The WJG Press and Baishideng. All rights reserved

引用

页码：4327 / 4330

页数：4

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