免疫能力较强的宿主中细胞巨肠病毒相关的有毒巨肠:真的如此罕见吗?
Pallavi Srivastava1, Ankit Gupta, Shipra Singh
1Department of Pathology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Annals of African medicine
|August 20, 2025
概括
细胞巨化病毒 (CMV) 大肠炎会导致严重的并发症,即使在免疫能力良好的人身上也是如此. 这一案例突显了老年患者的风险,强调年龄是CMV感染的脆弱性因素.
科学领域:
- 胃肠病学
- 传染性疾病
- 病理学
背景情况:
- 细胞巨病毒 (CMV) 通常影响免疫功能低下的人.
- 在免疫能力强的宿主中,CMV感染的发生率越来越高,尤其影响胃肠道.
研究的目的:
- 在免疫能力强的老年患者中报告严重的细胞大肠炎病例.
- 突出这一群体可能出现严重并发症和死亡率.
主要方法:
- 一个60岁的男性患有腹痛和腹.
- 放射性成像显示有毒的大肠炎.
- 经过手术切除,随后的组织病理学检查证实了CMV结肠炎.
主要成果:
- 细胞病理学证实了细胞巨乳病毒结肠炎,
- 患者经历了严重的并发症, 在手术后两周内死于感染.
- 年龄被认为是不良结果的重要风险因素.
结论:
- 在免疫能力较强的老年人中,细胞巨乳病毒结肠炎可能会出现严重的,危及生命的并发症.
- 早期识别和管理至关重要,尽管通常与免疫功能受损有关.
- 这一案例强调了不论免疫状况如何,在老年人结肠炎的差异诊断中考虑CMV的重要性.
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