Tsuji T, Misumi M, Inoue Y, Ideguchi H, Okubo T, Ueda A, Ohno S, Hagiwara E, Aoki A, Ishigatsubo Y
First Department of Internal Medicine, Yokohama City University School of Medicine.
Nihon Rinsho Meneki Gakkai Kaishi. 2001 Feb;24(1):29-35. doi: 10.2177/jsci.24.29.
We report here three cases of collagen diseases with cytomegalovirus infections. (1) A 21-year-old female, who had been diagnosed as systemic lupus erythematosus, lupus nephritis and lupus peritonitis, had fever. Cytomegalovirus antigenemia (CMV-Ag) assay was 10/8 positive. (2) A 33-year-old female, who had been diagnosed as Wegener glanulomatosis, had fever and liver dysfunction. CMV-Ag assay was 933/896 positive. (3) A 64-year-old female, who had been diagnosed as microscopic polyangitis, had fever, liver dysfunction and pneumonia. CMV-Ag assay was 6/2 positive. They were considered to be complicated with CMV infections. We could make early diagnoses of CMV infection by using CMV-Ag assay and treat them with anti-CMV therapy effectively.
我们在此报告3例合并巨细胞病毒感染的胶原病病例。(1)一名21岁女性,曾被诊断为系统性红斑狼疮、狼疮性肾炎和狼疮性腹膜炎,出现发热症状。巨细胞病毒抗原血症(CMV-Ag)检测结果为10/8阳性。(2)一名33岁女性,曾被诊断为韦格纳肉芽肿,出现发热和肝功能障碍。CMV-Ag检测结果为933/896阳性。(3)一名64岁女性,曾被诊断为显微镜下多血管炎,出现发热、肝功能障碍和肺炎。CMV-Ag检测结果为6/2阳性。这些病例被认为合并了CMV感染。通过使用CMV-Ag检测,我们能够早期诊断CMV感染,并通过抗CMV治疗有效治疗这些患者。