Cytomegalovirus colitis in a patient with severe refractory ulcerative colitis
| Autor: | Yukio Kaku, Katsuo Sugiyama, Shigeru Tanda, Seiichi Takahashi, Yoshitaka Kinouchi, Susumu Hara, Mitsunori Noguchi, Tooru Shimosegawa |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
Adult
Male medicine.medical_specialty business.industry Cytomegalovirus Cytomegalovirus colitis General Medicine Colitis medicine.disease Antiviral Agents Severity of Illness Index Gastroenterology Ulcerative colitis Refractory Internal medicine Cytomegalovirus Infections Humans Medicine Colitis Ulcerative gamma-Globulins business Antigens Viral Ganciclovir Biomarkers Colectomy |
| Zdroj: | Nihon Naika Gakkai Zasshi. 92:862-864 |
| ISSN: | 1883-2083 0021-5384 |
| DOI: | 10.2169/naika.92.862 |
| Popis: | 症例は25歳,男性.潰瘍性大腸炎で重症となり,入院.緩解導入が得られ, azathioprineとステロイドを内服し通院加療中,胸腰椎圧迫骨折を生じた.手術目的で再入院後,血性下痢,関節痛や発熱など急性増悪を呈した.大腸内視鏡上,高度の浮腫や縦走潰瘍の出現を認めた.血中cytomegalovirus (CMV)抗原陽性でCMV腸炎合併の診断下にgancyclovirとガンマグロブリンを投与し,大腸亜全摘術を施行した. CMV腸炎は,潰瘍性大腸炎の急性増悪や治療抵抗性に関与し,早期の診断を要するので報告した. |
| Databáze: | OpenAIRE |
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