细胞巨乳病毒结肠炎伪装为1型神经纤维素瘤患者的复发性结肠多体
Colin P Slaymaker1, Bhargavram Channagiri Srinivas2, Pranay Reddy3
1Department of Medical Oncology, University of Kansas School of Medicine-Wichita, Wichita, KS.
ACG case reports journal
|January 22, 2025
概括
细胞巨化病毒 (CMV) 大肠炎在免疫能力较强的人群中很少见,但可能导致严重的胃肠道出血. 密集护理提供者应考虑CMV大肠炎在重症患者,因为高死亡率.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 关键护理医学 关键护理医学
背景情况:
- 细胞巨乳病毒 (CMV) 大肠炎通常影响免疫力低下的个体.
- 在免疫能力不佳的患者中,它是胃肠道出血的不常见原因.
- 高龄,慢性疾病和危急疾病等危险因素在免疫能力较强的患者中需要考虑.
研究的目的:
- 为了突出CMV结肠炎的诊断挑战.
- 为了强调CMV大肠炎的可变内镜呈现.
- 呈现一种罕见的CMV大肠炎病例,模仿1型神经纤维素瘤病患者的结肠质.
主要方法:
- 案例报告的呈现方式.
- 对CMV大肠炎的临床表现和诊断考虑的审查.
- 讨论不同患者群体的治疗和结果.
主要成果:
- 冠状病毒结肠炎可以异常呈现,即使在免疫能力强的患者中也是如此.
- 结果有很大的差异,在重症患者中死亡率高 (高达71.4%).
- 对于大多数免疫能力较强,不危急的患者,抗病毒治疗可能不需要.
结论:
- 密集护理提供者必须在患有胃肠道出血的患者中保持对CMV大肠炎的高度怀疑指数,无论免疫状况如何.
- 早期识别和适当的治疗是至关重要的,特别是在危急病患者中.
- 这一案例强调了在复杂的患者表现中考虑罕见诊断的重要性.
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