巨细胞病毒与看似免疫功能正常的宿主：一例穿孔性胃溃疡病例

Krajicek Edward, Shivashankar Raina, Hansel Stephanie

Department of Internal Medicine, Mayo Clinic, Rochester, MN.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN.

ACG Case Rep J. 2017 Mar 1;4:e27. doi: 10.14309/crj.2017.27. eCollection 2017.

Cytomegalovirus (CMV) infection of the gastrointestinal tract has a variety of presentations. We present a case of gastric perforation, which is a relatively infrequent presentation of CMV infection. If the cause of gastric perforation is not readily apparent, testing for CMV should be considered. If CMV workup is positive, an evaluation for immunocompromise is prudent as CMV infections are more common in immunocompromised individuals.

巨细胞病毒（CMV）感染胃肠道有多种表现形式。我们报告一例胃穿孔病例，这是CMV感染相对罕见的一种表现。如果胃穿孔的病因不明显，应考虑检测CMV。如果CMV检查结果呈阳性，鉴于CMV感染在免疫功能低下个体中更为常见，谨慎评估免疫功能低下情况是明智的。