在被诊断患有炎症性肠病的患者中,细胞巨乳病毒感染
Melike İnan-Hekimoğlu1, Elif Mukime Sarıcaoğlu1, Güle Çınar1
1Department of Infectious Diseases and Clinical Microbiology, Ankara University School of Medicine, Ankara, Türkiye.
在炎症性肠病 (IBD) 患者中,细胞巨乳病毒 (CMV) 大肠炎可能呈现出低或无法检测到的CMV DNA水平. 诊断需要高度的临床怀疑,因为低病毒载量并不排除IBD中的CMV大肠炎.
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:
- 在炎症性肠病 (IBD) 爆发中,细胞巨乳病毒 (CMV) 的作用受到争议.
- 冠状病毒感染可能会使IBD管理复杂化,需要准确的诊断方法.
研究的目的:
- 为了评估CMV感染的诊断和治疗方面,IBD患者经历了恶化.
- 调查CMVDNA水平在结肠炎发展中的重要性.
主要方法:
- 在2016年至2021年期间,对怀疑患有CMV大肠炎的IBD患者进行了回顾性分析.
- 根据结肠镜活检,比较了经过基因病理学确认的CMV大肠炎患者与没有的患者.
主要成果:
- 包括39名IBD患者;在各组之间没有发现显著的人口或临床差异.
- 在患有CMV结肠炎的患者中,CMVDNA水平的中位数较低 (104副本/毫升),而不是 (1216副本/毫升) (p=0.008).
- 在患有CMV结肠炎的患者中,很大一部分 (61.5%) 的CMVDNA水平为阴性或低.
结论:
- 在IBD患者中,CMV结肠炎可能并不总是与可检测的CMV病毒症相关.
- 阴性或低血清CMVDNA水平不足以排除CMV结肠炎.
- 高度的临床怀疑需要进一步的诊断调查,以确定IBD中的CMV大肠炎.
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