FATAL CYTOMEGALOVIRUS (CMV) COLITIS IN A PATIENT RECEIVING LOW-DOSE PREDNISOLONE THERAPY

被引：30
作者：
AUKRUST, P
MOUM, B
FARSTAD, IN
HOLTER, E
BJORNEKLETT, A
KREMER, D
机构：
[1] CENT CTY HOSP, DEPT MED, STAVANGER, NORWAY
[2] UNIV OSLO, NATL HOSP, DEPT BACTERIOL, OSLO 3, NORWAY
[3] UNIV OSLO, NATL HOSP, DEPT PATHOL, OSLO 3, NORWAY
来源：
SCANDINAVIAN JOURNAL OF INFECTIOUS DISEASES | 1991年 / 23卷 / 04期
关键词：
D O I：
10.3109/00365549109075099
中图分类号：
R51 [传染病];
学科分类号：
100401 ;
摘要：
Cytomegalovirus (CMV) colitis is uncommon in patients who are not gravely immunodepressed. We report a case of fatal CMV colitis in a 54-year-old woman on low dose steroid therapy. She was admitted to hospital after sudden onset of abdominal pain and hemorrhagic watery diarrhea. After 25 days in the hospital, treatment with high dosage of methylprednisolone was started for presumed ulcerative colitis. Her condition worsened and she died 52 days after admission. It is important to recognize CMV colitis as differential diagnosis to inflammatory bowel disease, particularly when the colitis is refractory to immunosuppressive treatment.
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页码：495 / 499
页数：5
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