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.
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。
相似文献
1
Large bowel perforation secondary to CMV colitis: an unusual primary presentation of HIV infection.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。
BMJ Case Rep. 2016 Dec 21;2016:bcr2016217221. doi: 10.1136/bcr-2016-217221.
2
3
Cytomegalovirus colitis in a human immunodeficiency virus-positive patient with a normal CD4 count.巨细胞病毒性结肠炎在 CD4 计数正常的人类免疫缺陷病毒阳性患者中。
Am J Med Sci. 2012 Dec;344(6):508-10. doi: 10.1097/MAJ.0b013e31825d4d1d.
4
HIV associated cytomegalovirus colitis as a mimic of inflammatory bowel disease.人类免疫缺陷病毒相关的巨细胞病毒性结肠炎酷似炎症性肠病。
Gut. 1995 Jul;37(1):148-50. doi: 10.1136/gut.37.1.148.
5
Cytomegalovirus enteritis manifesting as recurrent bowel obstruction and jejunal perforation in patient with acquired immunodeficiency syndrome: rare report of survival and review of the literature.巨细胞病毒肠炎表现为获得性免疫缺陷综合征患者反复性肠梗阻和空肠穿孔：罕见的生存报告并文献复习。
Surg Infect (Larchmt). 2012 Apr;13(2):121-4. doi: 10.1089/sur.2010.098. Epub 2012 Mar 22.
6
Cytomegalovirus as an exacerbating factor in ulcerative colitis.
J Clin Gastroenterol. 1994 Dec;19(4):306-9. doi: 10.1097/00004836-199412000-00010.
7
Evidence for cytomegalovirus-induced haemophagocytic syndrome in a young patient with AIDS.一名年轻艾滋病患者巨细胞病毒诱导噬血细胞综合征的证据。
BMJ Case Rep. 2013 Sep 25;2013:bcr2013200983. doi: 10.1136/bcr-2013-200983.
8
Refractory ulcerative colitis complicated by a cytomegaloviral infection requiring surgery: report of a case.难治性溃疡性结肠炎合并巨细胞病毒感染需手术治疗：病例报告
Surg Today. 2004;34(1):68-71. doi: 10.1007/s00595-003-2640-1.
9
Perforation of the bowel due to cytomegalovirus infection in a man with AIDS: surgery is not always necessary!一名艾滋病男性患者因巨细胞病毒感染导致肠道穿孔：并非总是需要手术！
BMJ Case Rep. 2016 Jul 20;2016:bcr2015214196. doi: 10.1136/bcr-2015-214196.
10
[Clinical manifestations and course of cytomegalovirus colitis in AIDS patients].[艾滋病患者巨细胞病毒性结肠炎的临床表现及病程]
Schweiz Med Wochenschr. 1995 Dec 16;125(50):2417-22.
引用本文的文献
1
Large bowel perforation due to cytomegalovirus colitis in a post-cardiac surgical patient on chronic hemodialysis.一名接受慢性血液透析的心脏外科术后患者因巨细胞病毒性结肠炎导致大肠穿孔。
Gen Thorac Cardiovasc Surg Cases. 2023 Aug 1;2(1):69. doi: 10.1186/s44215-023-00078-7.
2
Gastric Perforation in a 60-Year-Old Woman with CMV Gastritis and Amphetamine Abuse Led to Death.一名患有巨细胞病毒性胃炎和苯丙胺滥用的60岁女性因胃穿孔死亡。
Case Rep Gastroenterol. 2022 Mar 25;16(1):129-134. doi: 10.1159/000521719. eCollection 2022 Jan-Apr.
3
A Case of Cytomegalovirus Colitis in an Immunocompetent COVID-19 Patient.一例免疫功能正常的新冠病毒肺炎患者发生巨细胞病毒性结肠炎的病例。
Cureus. 2022 Mar 16;14(3):e23203. doi: 10.7759/cureus.23203. eCollection 2022 Mar.
4
Cytomegalovirus Colitis Mimicking Rectal Tumour in an Undiagnosed HIV Patient.一名未确诊的HIV患者中表现为直肠肿瘤的巨细胞病毒性结肠炎
GE Port J Gastroenterol. 2020 Aug;27(5):364-367. doi: 10.1159/000505580. Epub 2020 Feb 5.
5
Small bowel perforation secondary to CMV-positive terminal ileitis postrenal transplant.肾移植术后因巨细胞病毒阳性的终末回肠炎继发小肠穿孔。
BMJ Case Rep. 2019 Nov 25;12(11):e231662. doi: 10.1136/bcr-2019-231662.
6
The Spontaneous Control of HIV Replication is Characterized by Decreased Pathological Changes in the Gut-associated Lymphoid Tissue.HIV复制的自发控制表现为肠道相关淋巴组织中病理变化减少。
Curr HIV Res. 2018;16(5):338-344. doi: 10.2174/1570162X17666190130115113.
7
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
1
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.
4
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.
5
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.
6
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.
7
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
Arch Intern Med. 1998 May 11;158(9):957-69. doi: 10.1001/archinte.158.9.957.
9
Cytomegalovirus colitis mimicking colon carcinoma in an HIV-negative patient with chronic renal failure.
Am J Gastroenterol. 1996 Jan;91(1):168-9.
Zotero 插件