Moum B, Aukrust P, Fausa O, Farstad I N, Holter E
Medisinsk avdeling A, Kaptein W. Wilhelmsen og frues bakteriologiske institutt, Rikshospitalet, Oslo.
Tidsskr Nor Laegeforen. 1991 Nov 20;111(28):3391-3.
Cytomegalovirus disease is seen mainly in immunocompromised patients. While gastrointestinal symptoms are difficult to interpret, the typical finding at endoscopy of the upper alimentary tract is ulcers. Diagnosis of cytomegalovirus disease is based on typical histological findings in biopsy specimens. Antiviral treatment should be started when cytomegalovirus disease is detected in transplant patients. If it is decided to treat patients suffering from AIDS, lifelong maintenance treatment is required. Early diagnosis by means of endoscopy and biopsies is very important, and will decide the outcome of instituted treatment.
巨细胞病毒病主要见于免疫功能低下的患者。虽然胃肠道症状难以解读，但上消化道内镜检查的典型发现是溃疡。巨细胞病毒病的诊断基于活检标本中的典型组织学发现。在移植患者中检测到巨细胞病毒病时应开始抗病毒治疗。如果决定治疗艾滋病患者，则需要终身维持治疗。通过内镜检查和活检进行早期诊断非常重要，这将决定所采取治疗的结果。
