CMV in the gut: a critical review of CMV detection in the immunocompetent host with colitis

被引:0
作者
A. L. Goodman
C. D. Murray
J. Watkins
P. D. Griffiths
D. P. Webster
机构
[1] University College London,Department of Infection and Immunity
[2] University College London Medical School,Centre for Virology
[3] Royal Free London NHS Foundation Trust,Department of Gastroenterology
[4] Royal Free London NHS Foundation Trust,Department of Cellular Pathology
来源
European Journal of Clinical Microbiology & Infectious Diseases | 2015年 / 34卷
关键词
Human Immunodeficiency Virus; Inflammatory Bowel Disease; Immunocompetent Patient; Immunocompetent Host; Severe Colitis;
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摘要
As scientific techniques for the detection of cytomegalovirus (CMV) improve, we are able to detect small amounts of CMV in the mucosal wall. As clinicians, we are unsure how to interpret the results of this novel test. There is controversy in the literature as to the significance of the detection of CMV in the gut. Whilst the importance of CMV and reactivation of the virus is clear in those patients such as allograft recipients with established immune compromise, the role is less clear in patients with less damaged immune systems. We explore whether the detection of CMV in such cases influences outcome and how it should be optimally managed. We discuss the optimal management of such cases, according to current guidelines, with a review of the literature.
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页码:13 / 18
页数:5
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  • [1] Kornbluth A(2010)Ulcerative colitis practice guidelines in adults: American College Of Gastroenterology, Practice Parameters Committee Am J Gastroenterol 105 501-523
  • [2] Sachar DB(2005)Meta-analysis of outcome of cytomegalovirus colitis in immunocompetent hosts Dig Dis Sci 50 609-616
  • [3] Galiatsatos P(2009)European evidence-based Consensus on the prevention, diagnosis and management of opportunistic infections in inflammatory bowel disease J Crohns Colitis 3 47-91
  • [4] Shrier I(1998)Cytomegalovirus colitis in the immunocompetent host: an overview Scand J Infect Dis 30 559-564
  • [5] Lamoureux E(2000)Histopathological detection of owl’s eye inclusions is still specific for cytomegalovirus in the era of human herpesviruses 6 and 7 J Clin Pathol 53 612-614
  • [6] Szilagyi A(2002)Definitions of cytomegalovirus infection and disease in transplant recipients Clin Infect Dis 34 1094-1097
  • [7] Rahier JF(2000)Application of viral-load kinetics to identify patients who develop cytomegalovirus disease after transplantation Lancet 355 2032-2036
  • [8] Ben-Horin S(1997)Cytomegalovirus (CMV) viraemia detected by polymerase chain reaction identifies a group of HIV-positive patients at high risk of CMV disease AIDS 11 889-893
  • [9] Chowers Y(2010)Evaluation of a non-invasive method to detect cytomegalovirus (CMV)-DNA in stool samples of patients with inflammatory bowel disease (IBD): a pilot study Dig Dis Sci 55 1053-1058
  • [10] Klauber E(2010)Cytomegalovirus in inflammatory bowel disease: pathogen or innocent bystander? Inflamm Bowel Dis 16 1620-1627