在患有活性性结肠炎的患者中,CMV DNAemia 是CMV结肠炎的早期标志物吗?
Laura Melotti1,2, Matteo Rinaldi1,3, Marco Salice2
1Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna, Bologna, Italy.
Microbiology spectrum
|October 14, 2024
概括
细胞巨乳病毒 (CMV) 大肠炎显著增加了性大肠炎 (UC) 患者的切除风险. 早期发现CMV-DNAemia可能有助于诊断CMV结肠炎,并指导抗病毒治疗以预防手术.
科学领域:
- 胃肠病学 胃肠病学
- 病毒学 病毒学
- 免疫学 免疫学 免疫学
背景情况:
- 细胞巨乳病毒 (CMV) 大肠炎复杂化中度至重度的性大肠炎 (UC).
- CMV的再激活会对UC患者的预后产生负面影响.
- 了解CMV结肠炎的风险因素和结果对于患者管理至关重要.
研究的目的:
- 评估住院UC患者中CMV大肠炎的风险因素.
- 评估CMV结肠炎的预后影响,包括结肠切除率.
- 调查CMV-DNAemia和CMV结肠炎之间的关联.
主要方法:
- 对135名住院UC患者进行了回顾性,观察性,单中心研究.
- 在组织活检上通过免疫组织化学诊断CMV大肠炎.
- 临床因素分析,CMV-DNAemia,以及胆管切除率.
主要成果:
- 在27.4%的患者中诊断出CMV大肠炎.
- 冠状病毒结肠炎与年龄较大,并发病率指数较高和类固醇折射性有关.
- 患有CMV结肠炎的患者的结肠切除率明显更高 (54.1%与34.4%相比).
- CMV-DNAemia独立地与CMV结肠炎和耐火性UC相关.
结论:
- 在UC患者中,CMV大肠炎是大肠切除术的重要危险因素.
- CMV-DNAemia是诊断UC中CMV结肠炎的可靠指标.
- 抗病毒疗法可能会减少对胆管切除术的需要,这需要进一步调查.
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