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[获得性免疫缺陷综合征中巨细胞病毒引起的结肠炎。2例尸检报告]

[Colitis caused by cytomegalovirus in acquired immunodeficiency syndrome. Report of 2 cases of autopsy].

作者信息

González Cueto D, Maffei M E, Patitó A, Campos M M

机构信息

División Patología Hosp. de Agudos S.A. Fernández, Bs. As.

出版信息

Acta Gastroenterol Latinoam. 1987;16(4):273-8.

PMID:2827422
Abstract

Two autopsy cases of CMV colitis in AIDS are reported. Intestinal manifestations lasted 2 and 5 months in each case and included: diarrhea and abdominal colic pain. The causes of death were: disseminated CMV infection in case 1 and miliary tuberculosis in case 2. In case 1 small ulcers were apparent in the ileum and the cecum. Microscopic foci of necrosis were also observed. Case showed: sigmoid dilatation with mucosal hemorrhages, small acute ulcers and submucosal fibrosis in the transverse portion of the colon. In both cases cytomegalic inclusion bodies within the endothelial cells of the capillaries at the bottom and the margin of the ulcers were observed. We compare our findings with those in other recently published cases.

摘要

报告了两例艾滋病患者巨细胞病毒结肠炎的尸检病例。每例患者的肠道症状持续2个月和5个月,包括腹泻和腹部绞痛。死亡原因分别为:病例1为播散性巨细胞病毒感染,病例2为粟粒性肺结核。病例1中,回肠和盲肠可见小溃疡,也观察到微观坏死灶。病例2显示:乙状结肠扩张,伴有黏膜出血、小的急性溃疡以及结肠横段的黏膜下纤维化。在两例病例中,均在溃疡底部和边缘的毛细血管内皮细胞内观察到巨细胞包涵体。我们将我们的发现与其他近期发表的病例进行了比较。

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