在免疫抑制患者中反复发生的败血症休克
Shinnosuke Fukushima1, Koji Fujita2, Hideharu Hagiya1
1Department of Infectious Diseases Okayama University Hospital Okayama Japan.
Clinical case reports
|October 20, 2025
概括
细胞巨乳病毒 (CMV) 胃肠炎可能会导致严重的症状,如腹和腹痛在免疫受损的个体. 这种情况可能会潜伏地导致休克,这对诊断复发性败血症休克至关重要.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 免疫学 免疫学 免疫学
背景情况:
- 细胞巨乳病毒 (CMV) 是一种常见的病毒,可在免疫功能低下的患者中引起严重疾病.
- 常见的CMV胃肠炎通常伴有腹和腹痛,需要进行内镜评估.
- 阴险的CMV肠炎发作可以模仿其他疾病,使诊断复杂化.
研究的目的:
- 要突出一个免疫功能低下的患者中发生的细胞巨乳病毒肠炎病例.
- 强调CMV肠炎潜伏地呈现并导致震惊的可能性.
- 倡导将CMV肠炎纳入复发性败血症休克的差异诊断.
主要方法:
- 病例报告,详细说明临床表现和诊断发现.
- 进行内镜和组织病理学检查以进行诊断.
- 关于CMV胃肠炎和感染性休克的相关文献的审查.
主要成果:
- 患者出现了暗示胃肠炎的症状,后者进展为休克.
- 组织病理学检查证实了肠道组织中细胞巨型病毒的存在.
- 该病例表明一种非典型的,潜伏的CMV肠炎表现.
结论:
- 细胞巨乳病毒肠炎可以在免疫力低下的人身上潜伏地表现出来.
- 在对复发性败血性休克的差异诊断中,应考虑CMV肠炎,特别是在免疫功能低下的患者中.
- 早期识别和诊断对于适当的管理和改善结果至关重要.
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