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Artículo en Inglés | WPRIM | ID: wpr-26150

RESUMEN

CMV infection may occur anywhere in the gastrointestinal tract. Among the small intestine, ileum is the most common site of CMV disease and infection of jejunum is a rare one in patients with CMV gastroenteritis. Although rare, the reason why the recognition of this diagnosis is important is that it cause the lethal hemorrhage and perforation of gastrointestinal tract when its diagnosis and treatment was delayed. Rapid diagnosis are able to using the immunohistochemical stain in shell vial culture of infected specimen or peripheral neutrophils preparation in viremic patients within 8 to 36 hours. The treatment of choice is antiviral agent or surgical resection. We experienced a case of CMV disease of jejunum in patient with non-Hodgkin's lymphoma who showed severe ulceration in jejunum and massive intestinal hemorrhage, and he survived after successful treatment with segmental resection of jejunum and intravenous ganciclovir.


Asunto(s)
Adulto , Humanos , Masculino , Antivirales/uso terapéutico , Infecciones por Citomegalovirus/tratamiento farmacológico , Infecciones por Citomegalovirus/diagnóstico , Infecciones por Citomegalovirus/complicaciones , Supervivencia sin Enfermedad , Enteritis/virología , Enteritis/cirugía , Enteritis/complicaciones , Ganciclovir/uso terapéutico , Hemorragia Gastrointestinal/terapia , Hemorragia Gastrointestinal/etiología , Hemorragia Gastrointestinal/diagnóstico , Enfermedades del Yeyuno/virología , Enfermedades del Yeyuno/cirugía , Enfermedades del Yeyuno/complicaciones , Linfoma no Hodgkin/tratamiento farmacológico , Linfoma no Hodgkin/diagnóstico , Linfoma no Hodgkin/complicaciones , Infecciones Oportunistas/tratamiento farmacológico , Infecciones Oportunistas/diagnóstico , Infecciones Oportunistas/complicaciones
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