散布的内脏性水呈现为胃
Coana Sukmagautama1, Christopher William Purnomo2,3, Kenneth Tan2
1Department of Internal Medicine, Universitas Sebelas Maret Hospital, Surakarta, Indonesia.
散布的内脏水,疹的罕见并发症,可以导致胃肠道问题,如老年人的消化不良,免疫抑制个体. 早期识别和支持性护理对于管理这种VZV重新激活至关重要.
科学领域:
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
- 病毒学 病毒学
背景情况:
- 带状疹,由疹病毒 (VZV) 再激活引起,通常呈现出皮疹.
- 散布或内脏VZV参与是罕见的,主要影响免疫抑制个体.
- 由VZV引起的胃肠道是不常见的,并且由于非特异性症状可能被误诊.
研究的目的:
- 报告一个传播的内水病例,呈现出胃肠道表现.
- 强调承认VZV是导致老年人胃和胃的原因的重要性,免疫抑制患者.
- 讨论非典型VZV感染的管理和结果.
主要方法:
- 一个70岁的男性患有糖尿病和功能性免疫抑制的病例报告.
- 临床表现包括面部,非皮肤病变,渐进性消化障碍和体重减轻.
- 诊断程序涉及上胃肠内镜和食道和胃活检的组织病理学.
主要成果:
- 内镜检查显示了多个食道和胃肠的.
- 组织病理学证实了VZV的细胞病变,诊断出传播的内脏性水.
- 通过支持性护理,皮质类固醇和症状治疗,患者的病情有所改善,解决了食障碍.
结论:
- 散布的内脏水是老年人和免疫抑制患者胃肠道的未被认可的原因.
- 患有糖尿病的老年患者患有非典型VZV表现的风险更高.
- 虽然抗病毒药物是标准的,但在严格监测的情况下,支持性护理可以在某些情况下导致改善.
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