Massive Gastrointestinal Hemorrhage Caused by Cytomegalovirus Infection

Autor:	Yuichiro Hukasawa, Chihoko Miyazaki, Kozo Kubo, Ichiro Tedo, Hiroshi Makise, Toshiji Sumiya, Satoshi Gando
Rok vydání:	1991
Předmět:	medicine.medical_specialty Gastrointestinal tract business.industry Stomach Congenital cytomegalovirus infection Interstitial cystitis medicine.disease Hematochezia Surgery Diarrhea medicine.anatomical_structure medicine Duodenum medicine.symptom business Pathological
Zdroj:	Nihon Kyukyu Igakukai Zasshi. 2:949-954
ISSN:	1883-3772 0915-924X
DOI:	10.3893/jjaam.2.949
Popis:	Two cases of severe gastrointestinal hemorrhage caused by cytomegalovirus (CMV) infection are reported. Case 1: The patient had massive hematochezia caused by a CMV infection of the stomach and ileocecal region during steroid therapy for the treatment of interstitial cystitis. Surgery and the intra-arterial pitressin stopped the hemorrhage, but the patient subsequently died due to multiple organ failure. Case 2: While undergoing postoperative chemotherapy for a tumor of the testis, the patient developed Candida sepsis as a result of agranulocytosis, whereupon massive diarrhea and hematochezia occurred because of a CMV infection of the duodenum. Surgery, however, stopped the hemorrhaging, and the patient recovered favorably and was released from the hospital. CMV is liable to cause increased pathological changes in the gastrointestinal tract, and this should be anticipated even by those in the field of emergency and critical care medicine. Hence, it is necessary to be knowledgeable about CMV infections so that a precise diagnosis can be made.
Databáze:	OpenAIRE
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