Rasmussen Eva, Grønbaek Karin, Linnemann Dorte
Gastroenterologisk Afdeling, Glostrup Hospital.
Ugeskr Laeger. 2009 Apr 6;171(15):1298.
A healthy young man was hospitalized due to fever, malaise and bloody stools for three weeks. The patient had a primary CMV infection based on biochemical, serological and ultrasonic results, and a colonoscopy was consistent with left-sided CMV colitis. He recovered spontaneously, though haematochezia remained present after six months. Development of IBD subsequent to CMV colitis has previously been described, and is now suspected in our patient. CMV colitis is a rare but possible differential diagnosis in immunocompetent patients with fever, elevated liver enzymes and bloody stools.
一名健康的年轻男性因发热、乏力和便血3周入院。根据生化、血清学和超声检查结果,该患者患有原发性巨细胞病毒感染,结肠镜检查结果符合左侧巨细胞病毒性结肠炎。患者自行康复,尽管6个月后仍有便血。先前已有巨细胞病毒性结肠炎后发生炎症性肠病的描述,目前在我们的患者中也怀疑有这种情况。巨细胞病毒性结肠炎在有发热、肝酶升高和便血的免疫功能正常患者中是一种罕见但可能的鉴别诊断。