A Case of Cytomegalovirus Colitis with Endoscopic Finding Resembling Crohn's Disease / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 303-307, 2012.
Artigo
em 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:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Antivirais
/
Imuno-Histoquímica
/
Doença de Crohn
/
Tomografia Computadorizada por Raios X
/
Ganciclovir
/
Colonoscopia
/
Colite
/
Infecções por Citomegalovirus
/
Injeções Intravenosas
Tipo de estudo:
Estudo diagnóstico
Limite:
Idoso
/
Aged80
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
The Korean Journal of Gastroenterology
Ano de publicação:
2012
Tipo de documento:
Artigo
Similares
MEDLINE
...
LILACS
LIS