在常见的可变性免疫缺陷中,耐火性细胞巨乳病毒结肠炎需要全肠切除术
Sulaiman Almushir1, Faisal Aljohani1,2, Abdulrahman Qatomah1,3
1Division of Gastroenterology and Hepatology, McGill University Health Centre, Montreal, QC, Canada.
Case reports in gastrointestinal medicine
|December 29, 2023
概括
细胞巨乳病毒 (CMV) 大肠炎在健康人群中很少见,通常与免疫缺陷有关. 这个病例突出了一个患有慢性CMV大肠炎和常见变性免疫缺陷 (CVID) 的患者,由于持续的症状需要手术.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- 细胞巨乳病毒 (CMV) 大肠炎是一种不常见的胃肠道感染.
- 它通常发生在免疫受损的个体中,由于潜伏的CMV的重新激活.
- 症状包括持续的腹,血和腹痛.
研究的目的:
- 为了呈现慢性细胞巨乳病毒 (CMV) 大肠炎的病例.
- 要突出CMV结肠炎和常见变性免疫缺陷 (CVID) 之间的关联.
- 讨论耐火性CMV大肠炎的管理挑战和最终治疗.
主要方法:
- 一个76岁的老妇人的病例报告.
- 在CVID的背景下诊断慢性CMV大肠炎.
- 对持续症状的管理策略的审查.
主要成果:
- 这位患者出现了慢性CMV大肠炎.
- 尽管进行了各种治疗,但症状持续了几年.
- 耐火性CMV大肠炎需要进行面膜切除术.
结论:
- 冠状病毒结肠炎可能是一种慢性和衰弱的疾病,特别是在患有潜在免疫缺陷的患者中,如CVID.
- 在免疫功能低下的患者中,对CMV大肠炎的管理可能具有挑战性.
- 对于耐火病例,可能需要进行手术干预,例如面膜切除术.
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