CMV enteritis causing hemorrhage and obstruction in an infant with AIDS
| Autor: | Kumudini D. Shah, Elmer David, John G. Larsen, Stephen E. Dolgin |
|---|---|
| Rok vydání: | 1990 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Perforation (oil well) Congenital cytomegalovirus infection Gastrointestinal infections Enteritis Acquired immunodeficiency syndrome (AIDS) Laparotomy Biopsy medicine Humans Acquired Immunodeficiency Syndrome medicine.diagnostic_test business.industry Infant General Medicine medicine.disease Surgery Bowel obstruction Cytomegalovirus Infections Pediatrics Perinatology and Child Health Female Gastrointestinal Hemorrhage business Intestinal Obstruction |
| Zdroj: | Journal of Pediatric Surgery. 25:696-698 |
| ISSN: | 0022-3468 |
| DOI: | 10.1016/0022-3468(90)90369-k |
| Popis: | Serious gastrointestinal infections from cytomegalovirus (CMV) are often observed in immunosuppressed patients especially those with acquired immunodeficiency syndrome (AIDS). Hemorrhage and perforation have been frequent consequences. We present a case of CMV enteritis in an infant with AIDS who suffered massive hemorrhage and subsequent fatal small bowel obstruction from this condition. Gross findings at laparotomy were striking, diffuse, large yellowish plaques along the entire length of the small bowel. Each of these had a central ulceration. Each eventually caused a partial narrowing resulting in refractory small bowel obstruction. Biopsy of one of these lesions demonstrated many cells with typical cytomegalic inclusion bodies. This report illustrates a newly recognized type of CMV enteritis that can affect an infant and be readily recognized at laparotomy. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|