Ng J W, Chan A Y
Am J Gastroenterol. 1987 Jul;82(7):695-8.
Clinically evident gastrointestinal involvement by cytomegalovirus has been amply documented in various immunocompromised states with the notable exception of burns. A 44-yr-old man, having sustained 40% burn, who developed severe bleeding from rectal ulcers at the time of a primary cytomegalovirus infection is described. Evidence is provided, implicating cytomegalovirus as the responsible pathogen. We suggest that cytomegalovirus infection should be included in the differential diagnosis of gastrointestinal bleeding occurring in a burned patient. In that case, bleeding can occur from any part of the gastrointestinal tract.
巨细胞病毒引起的临床明显胃肠道受累在各种免疫功能低下状态中已有大量文献记载，但烧伤患者除外。本文描述了一名44岁、烧伤面积达40%的男性，在初次感染巨细胞病毒时出现直肠溃疡严重出血。有证据表明巨细胞病毒是致病病原体。我们建议，烧伤患者发生胃肠道出血时，应将巨细胞病毒感染纳入鉴别诊断。在这种情况下，胃肠道任何部位都可能出血。
