A Case of Cytomegalovirus Colitis with Colon Perforation in Systemic Lupus Erythematosus / 대한류마티스학회지
The Journal of the Korean Rheumatism Association
;
: 82-88, 2003.
Article
in Korean
| WPRIM
| ID: wpr-10659
ABSTRACT
Cytomegalovirus (CMV) infection is a common human viral infection, affecting 40% to 100% of normal adult, especially in the immune compromised patients. CMV infection can produce variable gastrointestinal (GI) diseases in healthy adults, but can cause severe life-threatening illness involving many organs, including lung, retina, central nervous system, liver and GI tract in immunocompromised host. We experienced CMV colitis with colon perforation in a SLE patient during low dose steroid and azathioprine therapy, and she recovered after medical treatment without surgical interventions. A 33-year-old woman was diagnosed as SLE 7 years ago and treated with low dose, immunosuppressive therapy during 6 years. She complained of a severe abdominal pain and hematochezia. She was diagnosed as CMV colitis with colon perforation by pathologic, immunologic and image studies. After medical treatment, such as intravascular ganciclovir, there was progressive medical improvement, but has been a recurrent CMV colitis with lower GI bleeding.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Retina
/
Azathioprine
/
Abdominal Pain
/
Ganciclovir
/
Central Nervous System
/
Immunocompromised Host
/
Colitis
/
Colon
/
Cytomegalovirus
/
Gastrointestinal Tract
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
The Journal of the Korean Rheumatism Association
Year:
2003
Type:
Article
Similar
MEDLINE
...
LILACS
LIS