Dieterich D T, Kim M H, McMeeding A, Rotterdam H
New York University Medical Center, NY.
Am J Gastroenterol. 1991 Jul;86(7):904-6.
We report a homosexual patient with the acquired immune deficiency syndrome (AIDS) and histopathologic evidence for cytomegalovirus (CMV) appendicitis in a patient with no prior history of CMV infection. The patient presented with right lower quadrant pain and intermittent fevers. The diagnosis of appendicitis was difficult to make in this patient because of the presumptive diagnosis of tuberculosis ileitis and the frequent presentation of abdominal pain with fever in AIDS patients. Although CMV colitis is frequently seen in AIDS patients, the prevalence of CMV appendicitis is exceedingly rare. The problems related to making a diagnosis of CMV appendicitis and the therapeutic management of CMV infections are reviewed.
我们报告一例患有获得性免疫缺陷综合征（艾滋病）的同性恋患者，该患者在无巨细胞病毒（CMV）感染既往史的情况下，有组织病理学证据显示为CMV阑尾炎。患者表现为右下腹疼痛和间歇性发热。由于该患者初步诊断为结核性回肠炎，且艾滋病患者常出现腹痛伴发热，因此很难诊断为阑尾炎。虽然CMV结肠炎在艾滋病患者中很常见，但CMV阑尾炎的患病率极其罕见。本文对CMV阑尾炎的诊断问题及CMV感染的治疗管理进行了综述。
