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2
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Recurrent cytomegalovirus colitis: a rare case of immune reconstitution inflammatory syndrome.复发性巨细胞病毒性结肠炎：一例罕见的免疫重建炎症综合征病例。
BMJ Case Rep. 2018 Jan 4;2018:bcr-2017-221121. doi: 10.1136/bcr-2017-221121.

本文引用的文献

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CMV Colitis in Immunocompetent Patients: 2 Cases of a Diagnostic Challenge.免疫功能正常患者的巨细胞病毒性结肠炎：2例诊断难题
Case Rep Gastrointest Med. 2016;2016:4035637. doi: 10.1155/2016/4035637. Epub 2016 Apr 12.
2
Second European evidence-based consensus on the prevention, diagnosis and management of opportunistic infections in inflammatory bowel disease.欧洲关于炎症性肠病机会性感染预防、诊断和管理的第二项循证共识
J Crohns Colitis. 2014 Jun;8(6):443-68. doi: 10.1016/j.crohns.2013.12.013. Epub 2014 Mar 6.
3
Cytomegalovirus colitis in intensive care unit patients: difficulties in clinical diagnosis.重症监护病房患者的巨细胞病毒性结肠炎：临床诊断中的困难
J Crit Care. 2014 Jun;29(3):474.e1-6. doi: 10.1016/j.jcrc.2014.01.003. Epub 2014 Jan 13.
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Small bowel perforation due to CMV enteritis infection in an HIV-positive patient.一名HIV阳性患者因巨细胞病毒肠炎感染导致小肠穿孔。
BMC Res Notes. 2013 Feb 4;6:45. doi: 10.1186/1756-0500-6-45.
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Clinical significance of cytomegalovirus infection in patients with inflammatory bowel disease.巨细胞病毒感染在炎症性肠病患者中的临床意义。
World J Gastroenterol. 2013 Jan 7;19(1):17-25. doi: 10.3748/wjg.v19.i1.17.
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Human immunodeficiency virus-associated gastrointestinal disease: common endoscopic biopsy diagnoses.人类免疫缺陷病毒相关胃肠道疾病：常见的内镜活检诊断
Patholog Res Int. 2011 Apr 26;2011:247923. doi: 10.4061/2011/247923.
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Infection with cytomegalovirus in patients with inflammatory bowel disease: prevalence, clinical significance and outcome.炎症性肠病患者巨细胞病毒感染：患病率、临床意义及结局
J Med Microbiol. 2004 Nov;53(Pt 11):1155-1160. doi: 10.1099/jmm.0.45629-0.
8
Guidelines for the treatment of cytomegalovirus diseases in patients with AIDS in the era of potent antiretroviral therapy: recommendations of an international panel. International AIDS Society-USA.高效抗逆转录病毒治疗时代艾滋病患者巨细胞病毒疾病的治疗指南：一个国际小组的建议。美国国际艾滋病协会
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Cytomegalovirus colitis mimicking colon carcinoma in an HIV-negative patient with chronic renal failure.
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巨细胞病毒性结肠炎继发大肠穿孔：一种不寻常的HIV感染初发表现。

Large bowel perforation secondary to CMV colitis: an unusual primary presentation of HIV infection.

作者信息

Barling Daniel Richard, Tucker Simon, Varia Haren, Isaacs Peter

机构信息

A&E, Blackpool Victoria Hospital, Blackpool, UK.

Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool, UK.

出版信息

BMJ Case Rep. 2016 Dec 21;2016:bcr2016217221. doi: 10.1136/bcr-2016-217221.

DOI:10.1136/bcr-2016-217221
PMID:28003231
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5237779/
Abstract

We report a case of HIV-associated Cytomegalovirus colitis complicated by large bowel perforation. A 62-year-old man of same-sex relationship was not known to have HIV, but a diagnosis of inflammatory bowel disease was made early in his admission, with steroid treatment initiated. He was later confirmed to be HIV positive, and found to have multiple microperforations of the bowel necessitating ileocecectomy and Hartmann's procedures.

摘要

我们报告一例与HIV相关的巨细胞病毒性结肠炎并发大肠穿孔的病例。一名62岁的同性关系男性此前未知感染HIV，但入院早期被诊断为炎症性肠病，并开始接受类固醇治疗。他后来被确诊为HIV阳性，并发现肠道有多处微小穿孔，需要进行回盲部切除术和哈特曼手术。