Wilcox C M, Schwartz D A
Department of Medicine, Emory University School of Medicine, Atlanta, GA 30303.
J Clin Gastroenterol. 1992 Jun;14(4):293-7.
Duodenal disease resulting from cytomegalovirus (CMV) infection is unusual in the absence of other gastrointestinal disease. We report two cases of CMV infection symptomatically isolated to the duodenum. One patient presented with ulcer-type dyspepsia, and the other with severe gastrointestinal bleeding. Ganciclovir therapy resulted in both a clinical and endoscopic remission. The importance of endoscopic evaluation is discussed given the necessity of mucosal biopsy for diagnosis and the availability of specific and effective therapy.
在没有其他胃肠道疾病的情况下，由巨细胞病毒（CMV）感染引起的十二指肠疾病并不常见。我们报告了两例症状性孤立于十二指肠的CMV感染病例。一名患者表现为溃疡型消化不良，另一名患者表现为严重的胃肠道出血。更昔洛韦治疗导致临床和内镜缓解。鉴于诊断需要进行黏膜活检以及有特异性有效治疗方法，本文讨论了内镜评估的重要性。
