Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL.
Division of Pulmonary, Critical Care and Sleep Medicine, University of Florida, Gainesville, FL.
Chest. 2021 Jul;160(1):e29-e34. doi: 10.1016/j.chest.2021.01.037.
A 67-year-old woman with a medical history significant for hypertension, hyperlipidemia, type 2 diabetes mellitus, OSA, and schizophrenia was admitted multiple times the previous 3 months for generalized abdominal pain. Her most recent admission was unique for new onset bilateral upper and lower extremity weakness with paresthesia. Pertinent review of systems included malaise, fever, cough, left lower quadrant pain without weight loss, and rash. Previous evaluation included multiple CT scans of her abdomen that revealed colonic thickening. Ensuing colonoscopy revealed chronic ulcers with cytopathic changes consistent with cytomegalovirus.
一位 67 岁女性，既往有高血压、高血脂、2 型糖尿病、阻塞性睡眠呼吸暂停和精神分裂症病史。她在过去 3 个月内因全身性腹痛多次住院。最近一次住院的特点是新发双侧上下肢无力伴感觉异常。系统回顾包括不适、发热、咳嗽、左下象限疼痛无体重减轻和皮疹。之前的腹部 CT 扫描显示结肠增厚。随后的结肠镜检查显示慢性溃疡，伴有细胞病变改变，符合巨细胞病毒感染。
