A CASE OF STEROID-REFRACTORY ULCERATIVE COLITIS COMPLICATED WITH CYTOMEGALOVIRUS PNEUMONIA
スポンサーリンク
概要
- 論文の詳細を見る
We present a case of late-onset ulcerative colitis (UC) complicated with cytomegalovirus (CMV) pneumonia revealed by autopsy. A 77-year-old woman had a diagnosis of UC, and received high-dose steroids and leukocytapheresis. Then she received ganciclovir because CMV-pp65 antigenemia test revealed positive which suggested systemic or colonic CMV infection. But ganciclovir was discontinued because of thrombocytopenia and liver dysfunction. After that she had interstitial pneumonia and died of a respiratory failure. Autopsy revealed CMV colitis based on UC, and CMV pneumonia with diffuse alveolar damage. Evaluation of CMV infection in patients with steroid-refractory UC should be considered before proceeding with immunosuppressive therapy or surgery, especially in elderly patients.
- 福島医学会の論文
著者
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ORIKASA Hiroshi
Department of Internal Medicine II, Fukushima Medical University School of Medicine
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SASAJIMA Tomomi
Department of Internal Medicine II, Fukushima Medical University School of Medicine
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Saito Rie
Department Of Obstetrics And Gynecology Tokyo Women's Medical University
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Abe Masafumi
Department Of Medical Biology School Of Medicine Showa University
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Tasaki Kazuhiro
Department Of Pathology Fukushima Medical University Hospital
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Kobayashi Hiroko
Department Of Gastroenterology And Rheumatology Fukushima Medical University School Of Medicine
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Watanabe Hiroshi
Department Of Applied Chemistry And Bioengineering Graduate School Of Engineering Osaka City Univers
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Sasajima Tomomi
Department Of Basic Pathology Fukushima Medical University School Of Medicine
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OHIRA HIROMASA
Department of Gastroenterology and Rheumatology
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SATO Shuzo
Department of Gastroenterology and Rheumatology, School of Medicine, Fukushima Medical University
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Kobayashi Hiroko
Department of Cardiovascular Disease Research, Eisai Tsukuba Research Laboratories
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SAITO RIE
Department of Internal Medicine II, Fukushima Medical University School of Medicine
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Saito Rie
Department of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine, Japan
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