Cytomegalovirus Colitis Causing Cecal Perforation and Massive Lower Gastrointestinal Bleeding / 대한소화기내시경학회지
Korean Journal of Gastrointestinal Endoscopy
; : 33-37, 2011.
Article
en Ko
| WPRIM
| ID: wpr-38832
Biblioteca responsable:
WPRO
ABSTRACT
Cytomegalovirus (CMV) infection is associated with significant morbidity and mortality in immunocompromised patients. It may cause serious illness including bleeding, ulceration and perforation of the gastrointestinal tract. However, bowel perforation, toxic megacolon, and massive lower gastrointestinal bleeding caused by CMV in one patient is not common. In this report, we present a case of CMV colitis causing cecal perforation and massive lower gastrointestinal bleeding in a patient with lupus nephritis. In our case, severe lower gastrointestinal bleeding developed during successful treatment of CMV infection with ganciclovir. Even though the outcome of CMV colitis has improved since ganciclovir has been available for immunocompromised patients, reductions in gastrointestinal bleeding from colonic ulcers of CMV colitis may be possible during successful treatment with ganciclovir. This case suggests the possibility of lower gastrointestinal bleeding from a colon ulcer of CMV colitis should be considered during successful treatment with ganciclovir in immunocompromised patients.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Úlcera
/
Nefritis Lúpica
/
Ganciclovir
/
Huésped Inmunocomprometido
/
Colitis
/
Colon
/
Citomegalovirus
/
Tracto Gastrointestinal
/
Hemorragia
/
Megacolon Tóxico
Límite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Gastrointestinal Endoscopy
Año:
2011
Tipo del documento:
Article