在性结肠炎患者中细胞巨乳病毒的重新激活:早期指标
L N Altunal1, A S Ozel2, A K C3
1Department of Infectious Diseases, Health Sciences University Umraniye Training and Research Hospital, Istanbul, Turkey.
细胞巨乳病毒 (CMV) 感染与性结肠炎 (UC) 患者的病情恶化有关,包括类固醇耐药性和更长的住院时间. 类固醇耐药性,阿扎西奥普林使用和低白蛋白是UC恶化中CMV大肠炎的关键危险因素.
科学领域:
- 胃肠病学 胃肠病学
- 病毒学 病毒学
- 临床医学 临床医学
背景情况:
- 细胞巨乳病毒 (CMV) 感染和性结肠炎 (UC) 恶化之间的关系仍然是一个临床辩论.
- 了解CMV的作用对于管理UC爆发和改善患者的治疗结果至关重要.
研究的目的:
- 调查CMV感染和UC恶化期间的参数之间的关联.
- 确定与UC患者中CMV结肠炎相关的临床和实验室因素.
主要方法:
- 在2008年6月至2020年11月期间入院的812名UC患者的回顾性分析.
- 通过CMV DNA PCR在患有大肠炎症状的患者的组织活检中诊断出CMV感染.
- 在CMV阳性和CMV阴性UC患者之间的临床特征的比较.
主要成果:
- 在符合条件的UC患者中有28.1%的CMVPCR阳性 (43/153).
- 阳性CMV患者的类固醇耐药性,阿扎西奥普林使用,疾病持续时间较长和住院治疗率较高.
- 在CMV阳性患者中,发现了较高的C-反应蛋白和血小板与淋巴细胞比率,以及较低的白蛋白.
结论:
- 类固醇耐药性,阿扎西奥普林治疗,长时间的疾病持续时间和低白蛋白水平是UC患者中CMV大肠炎的重要危险因素.
- 这些因素独立地与结肠CMV感染有关,突出显示了它们在临床管理中的重要性.
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