新型冠状病毒肺炎与巨细胞病毒合并感染：1例伴有胃肠道症状的危重症患者的疑难病例
COVID-19 and Cytomegalovirus Co-infection: A Challenging Case of a Critically Ill Patient with Gastrointestinal Symptoms.
作者信息
Amaral Pedro Hf, Ferreira Bernadete Mc, Roll Sergio, Neves Precil Dmm, Pivetta Luca Ga, Mohrbacher Sara, Dias Eduardo Rm, Sato Victor Ah, Oliveira Érico S, Pereira Leonardo Vb, Bales Alessandra M, Nardotto Luciana L, Ferreira Jéssica N, Cuvello-Neto Américo L, Chocair Pedro R
机构信息
Gastrointestinal Surgery Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazil.
Internal Medicine Service, Oswaldo Cruz German Hospital, São Paulo-SP, Brazi.
出版信息
Eur J Case Rep Intern Med. 2020 Sep 2;7(10):001911. doi: 10.12890/2020_001911. eCollection 2020.
Abstract
UNLABELLED
COVID-19 is a severe disease that has reached pandemic status. To the best of our knowledge, we describe the first case of COVID-19 and cytomegalovirus (CMV) co-infection in a critically ill patient. We discuss the challenge of establishing the diagnosis as well as the management of tissue-invasive gastrointestinal CMV infection (TI-GI CMV) simulating vascular involvement and intestinal obstruction in a critically ill patient.
LEARNING POINTS
We describe a case of COVID-19 and cytomegalovirus (CMV) co-infection in a critically ill patient.Clinical symptoms simulated mesenteric vascular involvement and intestinal obstruction.The successful management of invasive CMV colitis in a patient with COVID-19 with atypical symptoms is described.
摘要
未标注
新冠病毒病是一种已达到大流行状态的严重疾病。据我们所知，我们描述了首例危重症患者感染新冠病毒病和巨细胞病毒（CMV）的病例。我们讨论了在一名危重症患者中诊断组织侵袭性胃肠道巨细胞病毒感染（TI-GI CMV）并将其与模拟血管受累和肠梗阻进行鉴别诊断时所面临的挑战。
学习要点
我们描述了一例危重症患者感染新冠病毒病和巨细胞病毒（CMV）的病例。临床症状模拟肠系膜血管受累和肠梗阻。本文描述了一名具有非典型症状的新冠病毒病患者侵袭性巨细胞病毒性结肠炎的成功治疗。
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