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一个孤独的直肠在一个老年患者的病人
1Department of Gastroenterology, Nottingham University Hospitals NHS Trust, Nottingham, UK.
The journal of the Royal College of Physicians of Edinburgh
|November 8, 2025
概括
在一名患有直肠出血的老年患者中诊断出了细胞巨乳病毒 (CMV) 结肠炎. 用瓦尔甘西克洛维尔及时治疗导致症状消失,突出显示了老年人这种疾病的有效抗病毒疗法.
科学领域:
- 胃肠病学 胃肠病学
- 传染性疾病 传染性疾病
- 老年病的医生 老年病的医生
背景情况:
- 细胞巨乳病毒 (CMV) 可以引起直肠炎,特别是在免疫受损的个体中,但也可能发生在老年人中.
- 直肠出血和是需要彻底调查的重大症状.
研究的目的:
- 在非老年患者中报告细胞巨乳病毒 (CMV) 排尾炎病例.
- 为了说明CMV直肠炎的诊断过程和成功治疗.
主要方法:
- 灵活的半导体镜可视化直肠病理.
- 直肠活检的组织病理学检查,包括对CMV的免疫组织化学检查.
- 在CMV IgG血清学和CMV DNA量化中.
- 使用口服瓦尔根西克洛维尔的治疗.
主要成果:
- 一个大,表面的直肠被确定.
- 组织学证实了CMV包容体的炎症和.
- 检测到高CMVDNA水平 (15,861 IU/mL) 和阳性CMVIgG血清学.
- 患者对口服瓦尔甘西克洛维尔的临床反应呈阳性.
结论:
- 细胞巨乳病毒 (CMV) 排肠炎是老年人直肠出血的可治疗原因.
- 通过内镜,组织学和病毒学检测进行早期诊断至关重要.
- 口服瓦尔甘西克洛维尔是一种有效的治疗选择,导致症状消失.
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