Garcés Molina F J, Royo García A, Hernández Pérez G, Pinilla B, Pastor Gómez-Cornejo L, Portugal Alvarez J
Servicio de Medicina Interna II, Hospital General Universitario Gregorio Marañón, Madrid.
An Med Interna. 2000 Dec;17(12):647-8.
We report a case of a male 49 years old, without clinical history, excepting rape in 1996, that was admitted to the Emergency Room of HGUGM because of diarrhea 6 months duration, plus fever (39 degrees C) in the last 2 months. He was diagnosed of infection by the Human Immunodeficiency Virus (HIV), with serum antigenemia (70 cells), and colonic biopsy positives for Cytomegalovirus, and a normal colonoscopy. Cytomegalovirus colitis is the major etiologic infectious agent in patients with AIDS-associated diarrhea, although it can be the diagnostic index for AIDS in a few cases.
我们报告一例49岁男性病例，无特殊临床病史，仅在1996年有过强奸史。该患者因持续6个月的腹泻以及近2个月的发热（39摄氏度）入住HGUGM急诊室。他被诊断为感染人类免疫缺陷病毒（HIV），血清抗原血症（70个细胞），结肠活检巨细胞病毒呈阳性，结肠镜检查正常。巨细胞病毒性结肠炎是艾滋病相关腹泻患者的主要病因性感染病原体，尽管在少数情况下它也可能是艾滋病的诊断指标。
