Yerushalmy-Feler Anat, Kern-Isaacs Sharona, Cohen Shlomi
Pediatric Gastroenterology Unit, "Dana-Dwek" Children's Hospital, Tel Aviv Sourasky Medical Center, 6 Weizman Street, 6423906, Tel Aviv, Israel.
Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Curr Gastroenterol Rep. 2018 Mar 28;20(4):13. doi: 10.1007/s11894-018-0617-x.
Patients with inflammatory bowel disease (IBD) are predisposed to infections. Cytomegalovirus (CMV) colitis in adult IBD patients, particularly ulcerative colitis (UC), is related to severe or steroid-refractory disease. The aim of this review is to summarize the data on the prevalence and role of CMV colitis in children with IBD.
Data on CMV colitis in children continue to be very limited due to its rarity. As in adults, children with coexisting UC and CMV tend to have more severe colitis, are resistant to corticosteroids, and are at high risk for colectomies on short- and long-term follow-up. In children, as in adults, the significance of CMV colitis, in terms of whether CMV is a pathogen that aggravates acute severe colitis or simply reflects disease severity, is still unknown.
炎症性肠病(IBD)患者易发生感染。成年IBD患者,尤其是溃疡性结肠炎(UC)患者中的巨细胞病毒(CMV)结肠炎与严重或激素抵抗性疾病相关。本综述旨在总结有关IBD患儿中CMV结肠炎的患病率及作用的数据。
由于CMV结肠炎在儿童中罕见,相关数据仍然非常有限。与成人一样,同时患有UC和CMV的儿童往往患有更严重的结肠炎,对皮质类固醇耐药,并且在短期和长期随访中接受结肠切除术的风险很高。与成人一样,CMV结肠炎在儿童中,就CMV是加重急性重症结肠炎的病原体还是仅仅反映疾病严重程度而言,其意义仍不明确。