Sugimoto Toshiro, Soumura Mariko, Kawasaki Masayasu, Kawai Hiromichi, Uzu Takashi, Nishio Yoshihiko, Tani Tohru, Kashiwagi Atsunori
Department of Medicine, Shiga University of Medical Science, Seta, Shiga, 520-2192, Japan.
Clin Rheumatol. 2006 Jul;25(4):575-6. doi: 10.1007/s10067-005-0187-9. Epub 2006 Jan 11.
A 73-year-old man who was being treated with corticosteroids for nonsystemic vasculitic neuropathy developed small-bowel hemorrhage after ileostomy for ileus. Immunohistochemical staining for cytomegalovirus (CMV) antigen in the ulcer in the resected ileum was positive; thus, cytomegalovirus infection of the small intestine caused his gastrointestinal manifestations. Cytomegalovirus infection should be considered in the differential diagnosis of gastrointestinal diseases in patients with collagen vascular diseases receiving immunosuppressive agents.
一名73岁男性因非系统性血管炎性神经病变接受皮质类固醇治疗，因肠梗阻行回肠造口术后发生小肠出血。切除的回肠溃疡中巨细胞病毒（CMV）抗原的免疫组织化学染色呈阳性；因此，小肠巨细胞病毒感染导致了他的胃肠道表现。在诊断接受免疫抑制剂治疗的胶原血管病患者的胃肠道疾病时，应考虑巨细胞病毒感染。
