de la Serna-Higuera C, González-García M, Milicua J M, Muñoz V
Servicio de Gastroenterología, Hospital Ramón y Cajal, Facultad de Medicina, Universidad de Alcalá de Henares, Madrid.
Gastroenterol Hepatol. 1999 May;22(5):230-1.
A case of granulomatous hepatitis induced by cytomegalovirus in a 34-year-old immunocompetent male with no other history of interest is presented. The clinical severity of the picture with progressive cholestasis, evening fever peaks and the development of echographic signs of portal hypertension led to treatment with high doses of intravenous ganciclovir. Rapid clinical improvement was observed with normalization of the analytical parameters after 15 days of treatment. The pathologic, clinical and therapeutic aspects of the liver infection by cytomegalovirus in an immunocompetent patient are discussed.
本文介绍了一例由巨细胞病毒引起的肉芽肿性肝炎病例，患者为一名34岁免疫功能正常的男性，无其他相关病史。患者临床表现为进行性胆汁淤积、傍晚发热高峰以及门静脉高压的超声征象，病情严重，因此接受了高剂量静脉注射更昔洛韦治疗。治疗15天后，分析参数恢复正常，临床症状迅速改善。本文还讨论了免疫功能正常患者巨细胞病毒肝脏感染的病理、临床及治疗方面。
