Fyock Christopher, Gaitanis Melissa, Gao John, Resnick Murray, Shah Samir
Clinical Assistant Professor, University of South Carolina School of Medicine, Greenville, South Carolina.
Infectious Disease specialist, is Assistant Professor of Medicine at The Alpert Medical School of Brown University and is affiliated with the Providence Veterans Administration Medical Center, Providence, RI.
R I Med J (2013). 2014 Jun 2;97(6):53-6.
An 83-year-old male with a history of diabetes but with an otherwise intact immune system presented with melena. Upper endoscopy showed gastric and duodenal ulcers. Colonoscopy showed colonic ulcers. Biopsies revealed cytomegalovirus (CMV). Therapy with an antiviral such as ganciclovir should be considered even in an immunocompetent patient if male and over the age of 55, or if they have chronic diseases such as diabetes or chronic kidney disease.
一名83岁男性，有糖尿病史，但免疫系统其他方面正常，出现黑便。上消化道内镜检查显示胃和十二指肠溃疡。结肠镜检查显示结肠溃疡。活检发现巨细胞病毒（CMV）。即使是免疫功能正常的患者，如果是男性且年龄超过55岁，或者患有糖尿病或慢性肾病等慢性病，也应考虑使用更昔洛韦等抗病毒药物进行治疗。
