急性结石性胆囊炎是由细胞巨型病毒引起的传染性单核病复杂化
Noriko Ide1, Risa Hirata1, So Motomura1
1Department of General Medicine Saga University Hospital Saga Japan.
Clinical case reports
|April 18, 2024
概括
细胞巨乳病毒 (CMV) 感染可以导致青少年出现腹痛和异常淋巴细胞的结核胆囊炎. 这种诊断在没有其他常见症状 (如喉炎) 时至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 肝病学 肝病学是一种肝病学.
背景情况:
- 细胞巨乳病毒 (CMV) 是一种常见的病毒,可以引起各种临床表现.
- 结石胆囊炎,即没有胆结石的胆囊炎,不太常见,但可能与感染有关.
研究的目的:
- 为了突出CMV感染作为一个潜在的原因,非结算性胆囊炎.
- 强调在患有异常表现的腹痛和异常淋巴细胞患者中考虑CMV的重要性.
- 介绍一个案例研究,说明这个诊断挑战.
主要方法:
- 案例报告:一名十几岁的男性出现发烧和腹上疼痛.
- 对细胞巨乳病毒 (CMV) IgG和IgM抗体进行血清检测.
- 腹部超声波和对比度增强计算机断层扫描 (CT) 用于成像.
- 磁共振成像 (MRI) 排除其他病理.
主要成果:
- 患者检测出CMV IgG和IgM的阳性.
- 图像检测显示肝脏胀和胆囊壁加厚.
- 核磁共振扫描排除了胆结石和瘤病变.
- 感染性单核病和CMV诱导的结核胆囊炎的诊断得到证实.
结论:
- 在对非结算性胆囊炎的差异诊断中,应考虑CMV感染,特别是在非典型淋巴细胞和腹痛患者中.
- 缺少喉炎或淋巴腺病并不能排除CMV作为病原体.
- 及时诊断和管理对于CMV相关的结核胆囊炎的良好结果至关重要.
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