Acute Cytomegalovirus Infection Superimposed on Corticosteroid-Naïve Ulcerative Colitis
スポンサーリンク
概要
- 論文の詳細を見る
Most cases of cytomegalovirus (CMV) colitis that develop in patients with inflammatory bowel disease (IBD) are caused by a reactivation of a latent virus; acute CMV infections are rare. Treatment with immunosuppressive agents further increases the infection risk. Here, we present a 32-year-old man with acute CMV-mononucleosis and colitis, superimposed on corticosteroid-naïve ulcerative colitis (UC). The diagnosis was confirmed by a viral-like prodrome, positive CMV antigenemia (C7-HRP), a positive CMV IgM titer, the presence of atypical lymphocytes, mild transaminase elevation, and immunohistological detection of CMV positive cells in his colonic mucosa. Gancyclovir was intravenously administered, and all symptoms were improved.
著者
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Ogawa Atsuhiro
Department Of Internal Medicine Shiga University Of Medical Science
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Fujiyama Yoshihide
Department Of Gastroenterology And Hematology Shiga University Of Medical Science
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HATA KAZUNORI
Department of Medicine, Shiga University of Medical Science
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SASAKI MASAYA
Department of Internal Medicine, Shiga University of Medical Science
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Andoh Akira
Department Of Gastroenterology Shiga University Of Medical Sciencs
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Saito Yasuharu
Department Of Medicine Shiga University Of Medical Science
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Tsujikawa Tomoyuki
Department Of Medicine Shiga University Of Medical Science
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Sasaki Masaya
Department of Medicine, Shiga University of Medical Science
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Nakahara Tamio
Department of Internal Medicine, Shiga University of Medical Science
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Osaki Rie
Department of Medicine, Shiga University of Medical Science
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Koizumi Yuhsuke
Department of Medicine, Shiga University of Medical Science
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Nakahara Tamio
Department of Medicine, Shiga University of Medical Science
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Tsujikawa Tomoyuki
Department of Internal Medicine, Shiga University of Medical Science
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Andoh Akira
Department of Medicine, Shiga University of Medical Science
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Saito Yasuharu
Department of Endoscopy, Shiga University of Medical Science
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