A Case of Cytomegalovirus Colitis with Endoscopic Finding Resembling Crohn's Disease / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 303-307, 2012.
Artículo
en Coreano
| WPRIM
| ID: wpr-215298
ABSTRACT
Cytomegalovirus (CMV) colitis is common among immunocompromised patients, and often diagnosed by pathologic confirmation because it is associated with a diverse spectrum of clinical and endoscopic features. However, Crohn's disease has no definitive diagnostic criteria, but longitudinal ulcers and cobble stone appearance are accepted as typical endoscopic features of Crohn's disease. An 83 year-old male with a history of radiotherapy for hypopharyngeal cancer visited our hospital with a complaint of melena for 1 week. His colonoscopic exam showed multiple longitudinal ulcers along the entire colon. Most of the ulcers were longer than 4 cm, these endoscopic findings were suspected as typical endoscopic features of Crohn's disease. Pathologic reports revealed multiple inclusion bodies with CMV on immunohistochemistry. He was finally diagnosed as having CMV colitis, and received a 3 week-course of intravenous ganciclovir. A colonoscopic follow-up showed complete healing of the multiple longitudinal ulcers, and he is doing well now without further treatment.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Antivirales
/
Inmunohistoquímica
/
Enfermedad de Crohn
/
Tomografía Computarizada por Rayos X
/
Ganciclovir
/
Colonoscopía
/
Colitis
/
Infecciones por Citomegalovirus
/
Inyecciones Intravenosas
Tipo de estudio:
Estudio diagnóstico
Límite:
Anciano
/
Aged80
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
The Korean Journal of Gastroenterology
Año:
2012
Tipo del documento:
Artículo
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