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巨细胞病毒感染在一名获得性免疫缺陷综合征患者中表现为结肠肿物。

Cytomegalovirus infection presenting as a colonic mass in a patient with acquired immunodeficiency syndrome.

作者信息

Rajan Dhyan, Jacob Robin, Rashid Sadat, Vardaros Magdalene, Pigal Anastasiya, Gebre Wondwossen, Rizvon Kaleem, Subramani Krishnaiyer, Takeshige Umeko, Mustacchia Paul

机构信息

Department of Internal Medicine, Nassau University Medical Center, East Meadow, New York, NY, USA.

出版信息

Int Med Case Rep J. 2011 Jul 22;4:55-8. doi: 10.2147/IMCRJ.S20407. Print 2011.

DOI:10.2147/IMCRJ.S20407
PMID:23754907
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3658239/
Abstract

Cytomegalovirus (CMV) infection of the gastrointestinal tract occurs in both immunocompromised and immunocompetent hosts. Often presenting as ulcerative lesions, CMV infection rarely presents as a mass lesion in the gastrointestinal tract. We present a case of a discrete colonic mass caused by CMV infection in a patient with acquired immunodeficiency syndrome (AIDS). This case illustrates that an infectious process such as CMV should be considered along with malignancy as the etiology of a mass lesion present in the gastrointestinal tract of patients with AIDS.

摘要

巨细胞病毒(CMV)胃肠道感染在免疫功能低下和免疫功能正常的宿主中均可发生。CMV感染常表现为溃疡性病变,在胃肠道中很少表现为肿块性病变。我们报告一例获得性免疫缺陷综合征(AIDS)患者因CMV感染导致的孤立性结肠肿块病例。该病例表明,对于AIDS患者胃肠道中出现的肿块性病变,在病因学上应将CMV等感染性过程与恶性肿瘤一并考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2755/3658239/1af9bd74baae/imcrj-4-055f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2755/3658239/306e94f22e0c/imcrj-4-055f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2755/3658239/512bfbc88183/imcrj-4-055f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2755/3658239/fff15f59a67b/imcrj-4-055f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2755/3658239/1af9bd74baae/imcrj-4-055f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2755/3658239/306e94f22e0c/imcrj-4-055f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2755/3658239/512bfbc88183/imcrj-4-055f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2755/3658239/fff15f59a67b/imcrj-4-055f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2755/3658239/1af9bd74baae/imcrj-4-055f4.jpg

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本文引用的文献

1
Cytomegalovirus Reactivation in Ulcerative Colitis Patients.溃疡性结肠炎患者的巨细胞病毒再激活
Ulcers. 2011 Jan 1;2011. doi: 10.1155/2011/282507.
2
Cytomegalovirus infection in ulcerative colitis: a prospective, comparative study on prevalence and diagnostic strategy.溃疡性结肠炎中的巨细胞病毒感染:一项关于患病率和诊断策略的前瞻性比较研究。
Inflamm Bowel Dis. 2008 Oct;14(10):1373-9. doi: 10.1002/ibd.20498.
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Cytomegalovirus-associated pseudotumor simulating gastric malignancy in acquired immunodeficiency syndrome: a case report with review of literature.
Jpn J Infect Dis. 2007 May;60(2-3):134-6.
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Dig Dis Sci. 2005 Feb;50(2):230-4. doi: 10.1007/s10620-005-1587-z.
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Appendix mass in AIDS?艾滋病患者出现阑尾肿物?
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7
Cytomegalovirus infection in the acquired immunodeficiency syndrome. Clinical and autopsy findings.获得性免疫缺陷综合征中的巨细胞病毒感染。临床及尸检结果。
Arch Pathol Lab Med. 1988 May;112(5):540-4.
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Ileocecal tuberculosis: CT and radiologic evaluation.回盲部结核:CT与放射学评估
AJR Am J Roentgenol. 1990 Mar;154(3):499-503. doi: 10.2214/ajr.154.3.2106212.
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Colonic histoplasmosis in acquired immunodeficiency syndrome. Report of two cases.
Dis Colon Rectum. 1991 Feb;34(2):185-90. doi: 10.1007/BF02049996.
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Neoplasms of the gastrointestinal tract and hepatobiliary system in acquired immunodeficiency syndrome.
Semin Liver Dis. 1992 May;12(2):128-41. doi: 10.1055/s-2007-1007385.